Healthcare Provider Details

I. General information

NPI: 1093737124
Provider Name (Legal Business Name): METROPOLITAN RENAL MGMT. PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 11/28/2022
Certification Date: 11/28/2022
Deactivation Date: 10/27/2022
Reactivation Date: 11/28/2022

III. Provider practice location address

4701 RANDOLPH RD STE 216
ROCKVILLE MD
20852-2257
US

IV. Provider business mailing address

4701 RANDOLPH RD STE 216
ROCKVILLE MD
20852-2257
US

V. Phone/Fax

Practice location:
  • Phone: 301-230-0888
  • Fax:
Mailing address:
  • Phone: 301-230-0888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberD0047867
License Number StateMD

VIII. Authorized Official

Name: DR. ONEY J ZUNIGA
Title or Position: PROVIDER
Credential: M.D.
Phone: 301-230-0888