Healthcare Provider Details

I. General information

NPI: 1053587204
Provider Name (Legal Business Name): LEILA ROWLAND ZUCKER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2008
Last Update Date: 05/31/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2731 SHERMAN AVE NW
WASHINGTON DC
20001-3919
US

IV. Provider business mailing address

2041 GEORGIA AVE NW RM 1-400 HOWARD UNIVERSITY HOSPITAL EMERGENCY DEPARTMENT
WASHINGTON DC
20060-0001
US

V. Phone/Fax

Practice location:
  • Phone: 202-277-5253
  • Fax:
Mailing address:
  • Phone: 202-865-7049
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMD039448
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: