Healthcare Provider Details

I. General information

NPI: 1891794905
Provider Name (Legal Business Name): KENNETH A MERKATZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2005
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5530 WISCONSIN AVE STE 1100
CHEVY CHASE MD
20815-4330
US

IV. Provider business mailing address

5530 WISCONSIN AVE STE 1100
CHEVY CHASE MD
20815-4330
US

V. Phone/Fax

Practice location:
  • Phone: 301-656-9070
  • Fax: 301-656-9070
Mailing address:
  • Phone: 301-656-9070
  • Fax: 301-656-9070

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberD0106616
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: