Healthcare Provider Details

I. General information

NPI: 1184410805
Provider Name (Legal Business Name): MERON D ZAFU RDN, LD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/18/2025
Last Update Date: 07/25/2025
Certification Date: 07/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3711 22ND ST NE
WASHINGTON DC
20018-3003
US

IV. Provider business mailing address

3108 35TH ST NE
WASHINGTON DC
20018-1628
US

V. Phone/Fax

Practice location:
  • Phone: 760-783-1773
  • Fax:
Mailing address:
  • Phone: 760-783-1773
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberDI200001249
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: