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General NPI Number Information
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NPI Number | 1265414403
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Entity Type | Organization
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Legal Business Name | M. S. ZONOZI, MD
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Dates
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Enumeration Date | 11/15/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1328 SOUTHERN AVE SE SUITE 307
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City | WASHINGTON
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State | DC
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Zip | 20032-4689
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Country | US
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Telephone | 202-563-5485
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Fax | 202-563-5498
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Provider Business Mailing Address
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Address Line | PO BOX 1400
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City | FAIRFAX
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State | VA
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Zip | 22038-1400
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Country | US
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Telephone | 703-383-9543
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Fax | 703-383-9532
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. M SAIID ZONOZI
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Credential | M.D.
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Telephone | 202-563-5485
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | MD12391
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License Number State | DC
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