Provider Demographics
NPI:1093737124
Name:METROPOLITAN RENAL MGMT. PC
Entity Type:Organization
Organization Name:METROPOLITAN RENAL MGMT. PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:ONEY
Authorized Official - Middle Name:J
Authorized Official - Last Name:ZUNIGA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-230-0888
Mailing Address - Street 1:4701 RANDOLPH RD STE 216
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-2257
Mailing Address - Country:US
Mailing Address - Phone:301-230-0888
Mailing Address - Fax:
Practice Address - Street 1:4701 RANDOLPH RD STE 216
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-2257
Practice Address - Country:US
Practice Address - Phone:301-230-0888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-25
Last Update Date:2022-11-28
Deactivation Date:2022-10-27
Deactivation Code:
Reactivation Date:2022-11-28
Provider Licenses
StateLicense IDTaxonomies
MDD0047867207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDG11861Medicare UPIN
MDG02306Medicare ID - Type Unspecified