Provider Demographics
NPI:1376688481
Name:ZULICH, RONDA ADHAM (MD)
Entity Type:Individual
Prefix:DR
First Name:RONDA
Middle Name:ADHAM
Last Name:ZULICH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:RONDA
Other - Middle Name:ADHAM
Other - Last Name:ZULICH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2050 MARINER DR STE 150
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-6656
Mailing Address - Country:US
Mailing Address - Phone:702-850-5437
Mailing Address - Fax:702-850-7337
Practice Address - Street 1:2050 MARINER DR STE 150
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-6656
Practice Address - Country:US
Practice Address - Phone:702-850-5437
Practice Address - Fax:702-850-7337
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV16810208000000X
UT9066314-1205208000000X
UT9066314-8905208000000X
CAA97521208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1376688481Medicaid