Healthcare Provider Details

I. General information

NPI: 1851495477
Provider Name (Legal Business Name): KATHELEEN ZANERRA BEDFORD ANDREWS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2006
Last Update Date: 04/25/2026
Certification Date: 04/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

655 NEW YORK AVE NW
WASHINGTON DC
20001-4593
US

IV. Provider business mailing address

655 NEW YORK AVE NW
WASHINGTON DC
20001-4593
US

V. Phone/Fax

Practice location:
  • Phone: 301-875-8450
  • Fax:
Mailing address:
  • Phone: 301-875-8450
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberD60702
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: