| Doctor Name: | RUSLAN ZENO ZAKHARCHUK |
| NPI Number: | 1154719060 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.A. |
| License Number: | 50.004223 |
| Business Practice Address: | 6801 Mayfield Road Suite 537 Mayfield Heights, OH - 44124 |
| Business Phone Number: | 4404424452 |
| Business Fax Number: | 4404420571 |
| Mailing Address: | 6801 Mayfield Rd, Suite 537 MAYFIELD HEIGHTS |
| State: | OH |
| Postal Code: | 441242270 |
| Phone Number: | 4404424452 |
| Fax Number: | 4404420571 |
| NPI Enumeration Date: | 12/30/2014 |
| NPI Last Update Date: | 12/30/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 50.004223 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |