Provider Demographics
NPI:1891744397
Name:WALDMAN, ZEV (MD)
Entity Type:Individual
Prefix:DR
First Name:ZEV
Middle Name:
Last Name:WALDMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:111 MICHIGAN AVE NW
Mailing Address - Street 2:HOSPITALIST DIVISION
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-2978
Mailing Address - Country:US
Mailing Address - Phone:202-635-6136
Mailing Address - Fax:202-636-5389
Practice Address - Street 1:1731 BUNKER HILL RD NE
Practice Address - Street 2:MEDICAL STAFF OFFICE
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20017-3026
Practice Address - Country:US
Practice Address - Phone:202-635-6138
Practice Address - Fax:202-636-5389
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2011-07-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DCMD036274208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC38166700Medicaid
VA10318190Medicaid
MD411328400Medicaid
DC38166700Medicaid