Provider Demographics
NPI:1093782864
Name:DORAI, ZEENA (MD)
Entity Type:Individual
Prefix:DR
First Name:ZEENA
Middle Name:
Last Name:DORAI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3333 N. CALVERT STREET
Mailing Address - Street 2:SUITE 400
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21218-3742
Mailing Address - Country:US
Mailing Address - Phone:410-554-2247
Mailing Address - Fax:410-554-2231
Practice Address - Street 1:3333 N. CALVERT STREET
Practice Address - Street 2:SUITE 400
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218-3742
Practice Address - Country:US
Practice Address - Phone:410-554-2247
Practice Address - Fax:410-554-2231
Is Sole Proprietor?:No
Enumeration Date:2006-03-01
Last Update Date:2017-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0062770207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD407886100Medicaid
MD407886100Medicaid
MD880M148ZMedicare ID - Type Unspecified