Healthcare Provider Details

I. General information

NPI: 1518902212
Provider Name (Legal Business Name): BULENT R ZAIM M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2006
Last Update Date: 10/08/2024
Certification Date: 10/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1204 WEST ST
ANNAPOLIS MD
21401-3610
US

IV. Provider business mailing address

7212 BROOKSTONE CT
POTOMAC MD
20854-4851
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License NumberD50969
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: