Provider Demographics
NPI:1013390152
Name:WU, RICHARD ZIEWAI (DO)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:ZIEWAI
Last Name:WU
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:932 HUNGERFORD DR STE 31A
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-1753
Mailing Address - Country:US
Mailing Address - Phone:301-298-9900
Mailing Address - Fax:301-298-9899
Practice Address - Street 1:932 HUNGERFORD DR STE 31A
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-1753
Practice Address - Country:US
Practice Address - Phone:301-298-9900
Practice Address - Fax:301-298-9899
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-07
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDH00937902084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty