Healthcare Provider Details

I. General information

NPI: 1487229589
Provider Name (Legal Business Name): ZOYA FATIMA RIZWAN LADIWALA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2021
Last Update Date: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2003 MEDICAL PARKWAY SUITE 350
ANNAPOLIS MD
21401
US

IV. Provider business mailing address

8117 EVENING STAR DR UNIT 233
PASADENA MD
21122-2477
US

V. Phone/Fax

Practice location:
  • Phone: 443-481-1091
  • Fax: 443-949-7380
Mailing address:
  • Phone: 609-285-7880
  • Fax: 609-285-7880

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberC1-0028796
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: