Provider Demographics
NPI:1740615392
Name:ANCA G. ZINNES, MD LLC
Entity Type:Organization
Organization Name:ANCA G. ZINNES, MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ANCA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZINNES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:304-404-0156
Mailing Address - Street 1:5454 WISCONSIN AVE
Mailing Address - Street 2:SUITE 1435
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-6901
Mailing Address - Country:US
Mailing Address - Phone:301-404-0156
Mailing Address - Fax:301-656-0154
Practice Address - Street 1:5454 WISCONSIN AVE
Practice Address - Street 2:SUITE 1435
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-6901
Practice Address - Country:US
Practice Address - Phone:301-404-0156
Practice Address - Fax:301-656-0154
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-13
Last Update Date:2013-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0062829174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty