Provider Demographics
NPI:1679539829
Name:KALIKHMAN, ZHANNA MICHELLE (MD)
Entity Type:Individual
Prefix:DR
First Name:ZHANNA
Middle Name:MICHELLE
Last Name:KALIKHMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8186 LARK BROWN RD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:ELKRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21075-6435
Mailing Address - Country:US
Mailing Address - Phone:410-730-9898
Mailing Address - Fax:410-730-9990
Practice Address - Street 1:8186 LARK BROWN RD
Practice Address - Street 2:SUITE 301
Practice Address - City:ELKRIDGE
Practice Address - State:MD
Practice Address - Zip Code:21075-6435
Practice Address - Country:US
Practice Address - Phone:410-730-9898
Practice Address - Fax:410-730-9990
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-25
Last Update Date:2011-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD50184207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDD50184OtherSTATE
MD353RMedicare ID - Type Unspecified
G26240Medicare UPIN