Healthcare Provider Details

I. General information

NPI: 1740262989
Provider Name (Legal Business Name): MEER ZONOZI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/15/2005
Last Update Date: 08/24/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1328 SOUTHERN AVE SE STE 314
WASHINGTON DC
20032-4689
US

IV. Provider business mailing address

7811 TWINCREST CT
MC LEAN VA
22102-2042
US

V. Phone/Fax

Practice location:
  • Phone: 202-563-5485
  • Fax: 202-563-5498
Mailing address:
  • Phone: 703-383-9543
  • Fax: 703-383-9532

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberMD12391
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: