MEDICARE: ZMC LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1407339229
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZMC LLC

Provider Business Mailing Address
First Line	:	2630 N COLUMBIA CENTER BLVD
Second Line	:
City	:	RICHLAND
State	:	WA
Zip	:	99352-4853
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2630 N COLUMBIA CENTER BLVD
Second Line	:
City	:	RICHLAND
State	:	WA
Zip	:	99352-4853
Country	:	US
Telephone Number	:	509-420-5053
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. SAMI ANWAR
Credential	:
Telephone Number	:	509-420-5053

Provider Enumeration Date	:	09/07/2018
Last Update Date	:	10/22/2020

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Directions to “ZMC LLC ” Practice Location

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