Provider Demographics
NPI:1073554036
Name:BULENT ZAIM MD LLC
Entity Type:Organization
Organization Name:BULENT ZAIM MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BULENT
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-722-7010
Mailing Address - Street 1:106 IRVING ST NW
Mailing Address - Street 2:SOUTH TOWER SUITE 218
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-2927
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:106 IRVING ST NW
Practice Address - Street 2:SOUTH TOWER SUITE 218
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-2927
Practice Address - Country:US
Practice Address - Phone:202-722-7010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-09
Last Update Date:2007-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac ElectrophysiologyGroup - Multi-Specialty
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC5888OtherBLUE SHIELD
DC885155Medicare PIN
DC5888OtherBLUE SHIELD