MEDICARE: ZUFAN GIDEY

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
1	347C00000X	Private Vehicle

General Provider Information

NPI Number	:	1861340325
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZUFAN GIDEY

Provider Business Mailing Address
First Line	:	505 MACE DR
Second Line	:
City	:	FORT WASHINGTON
State	:	MD
Zip	:	20744-5631
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	505 MACE DR
Second Line	:
City	:	FORT WASHINGTON
State	:	MD
Zip	:	20744-5631
Country	:	US
Telephone Number	:	703-589-4699
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/19/2026
Last Update Date	:	03/19/2026

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Directions to “ ZUFAN GIDEY ” Practice Location

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