Healthcare Provider Details

I. General information

NPI: 1427346899
Provider Name (Legal Business Name): COMPASSIONATE SPECIALTY CLINIC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2011
Last Update Date: 04/08/2025
Certification Date: 04/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7831 BELLE POINT DR
GREENBELT MD
20770-3338
US

IV. Provider business mailing address

10319 WESTLAKE DR STE 193
BETHESDA MD
20817-6403
US

V. Phone/Fax

Practice location:
  • Phone: 301-902-0664
  • Fax:
Mailing address:
  • Phone: 216-502-4311
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NR0200X
TaxonomyRadiology Chiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. IVAN ZAMA
Title or Position: OWNER
Credential: M.D.,
Phone: 301-902-0664