Healthcare Provider Details

I. General information

NPI: 1205290822
Provider Name (Legal Business Name): ZHANETA ZIMMER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2016
Last Update Date: 03/18/2025
Certification Date: 03/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1715 N GEORGE MASON DR STE 302
ARLINGTON VA
22205-3652
US

IV. Provider business mailing address

2353 9TH ST S
ARLINGTON VA
22204-2359
US

V. Phone/Fax

Practice location:
  • Phone: 703-717-7851
  • Fax: 703-717-7852
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number0101267106
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: