Healthcare Provider Details

I. General information

NPI: 1316869605
Provider Name (Legal Business Name): KELVIN ZIH MEH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9420 GRAND BLVD APT 3115
UPPER MARLBORO MD
20774-2716
US

IV. Provider business mailing address

9420 GRAND BLVD APT 3115
UPPER MARLBORO MD
20774-2716
US

V. Phone/Fax

Practice location:
  • Phone: 240-853-8567
  • Fax:
Mailing address:
  • Phone: 240-853-8567
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: