Healthcare Provider Details

I. General information

NPI: 1689658627
Provider Name (Legal Business Name): ONEY J ZUNIGA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/02/2005
Last Update Date: 07/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

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: 301-230-9084
Mailing address:
  • Phone: 301-230-0888
  • Fax: 301-230-9084

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: