Healthcare Provider Details

I. General information

NPI: 1073554036
Provider Name (Legal Business Name): BULENT ZAIM MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 05/21/2025
Certification Date: 05/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1204 WEST ST
ANNAPOLIS MD
21401-3610
US

IV. Provider business mailing address

1204 WEST ST
ANNAPOLIS MD
21401-3610
US

V. Phone/Fax

Practice location:
  • Phone: 410-263-0799
  • Fax: 410-263-4260
Mailing address:
  • Phone: 410-263-0799
  • Fax: 410-263-4260

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. BULENT ZAIM
Title or Position: PRESIDENT
Credential:
Phone: 301-928-1110