Healthcare Provider Details

I. General information

NPI: 1801759477
Provider Name (Legal Business Name): ZAINAB SUSAN GBORIE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1221 TAYLOR ST NW
WASHINGTON DC
20011-5617
US

IV. Provider business mailing address

9705 WOODYARD CIR
UPPER MARLBORO MD
20772-4391
US

V. Phone/Fax

Practice location:
  • Phone: 202-464-9200
  • Fax: 202-388-4339
Mailing address:
  • Phone: 202-848-3319
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: