Provider Demographics
NPI:1326540261
Name:ZANDERS, ZARED
Entity Type:Individual
Prefix:
First Name:ZARED
Middle Name:
Last Name:ZANDERS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16825 HARBOUR TOWN DR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20905-4021
Mailing Address - Country:US
Mailing Address - Phone:301-704-8768
Mailing Address - Fax:
Practice Address - Street 1:16825 HARBOUR TOWN DR
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20905-4021
Practice Address - Country:US
Practice Address - Phone:301-704-8768
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-07
Last Update Date:2018-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program