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NPI Code Detail

MEDICARE: DR. ZANA SOTIROV MD

MEDICARE: DR. ZANA SOTIROV MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician4301062361MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
105009471OTHERMIBLUE CROSS

General Provider Information

NPI Number : 1477523033
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ZANA SOTIROV MD
Provider Business Mailing Address
First Line : PO BOX 746723
Second Line :
City : ATLANTA
State : GA
Zip : 30374-6723
Country : US
Telephone Number : 312-733-9730
Fax Number :
Provider Business Practice Location Address
First Line : 26390 GRATIOT AVE
Second Line :
City : ROSEVILLE
State : MI
Zip : 48066-5106
Country : US
Telephone Number : 586-221-7020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2006
Last Update Date : 02/19/2025

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Directions to “ DR. ZANA SOTIROV MD” Practice Location

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