Provider Demographics
NPI:1972690394
Name:ZARATE, ALFREDO R (MD)
Entity Type:Individual
Prefix:
First Name:ALFREDO
Middle Name:R
Last Name:ZARATE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8128 HAMILTON SPRING RD
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-2716
Mailing Address - Country:US
Mailing Address - Phone:301-469-5112
Mailing Address - Fax:301-468-9085
Practice Address - Street 1:5652 SILVER HILL RD
Practice Address - Street 2:
Practice Address - City:DISTRICT HEIGHTS
Practice Address - State:MD
Practice Address - Zip Code:20747-1145
Practice Address - Country:US
Practice Address - Phone:301-967-9891
Practice Address - Fax:301-967-6964
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2008-06-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD17461207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD762571500Medicaid
DC017870500Medicaid
DC017870500Medicaid
MD762571500Medicaid