Provider Demographics
NPI:1740262989
Name:ZONOZI, MEER (MD)
Entity type:Individual
Prefix:DR
First Name:MEER
Middle Name:
Last Name:ZONOZI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7811 TWINCREST CT
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22102-2042
Mailing Address - Country:US
Mailing Address - Phone:703-383-9543
Mailing Address - Fax:703-383-9532
Practice Address - Street 1:1328 SOUTHERN AVE SE
Practice Address - Street 2:STE 314
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20032-4689
Practice Address - Country:US
Practice Address - Phone:202-563-5485
Practice Address - Fax:202-563-5498
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-15
Last Update Date:2019-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD12391207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD359371100Medicaid
DC026320300Medicaid
DC52700001OtherCAREFIRST OF DC
DC416539Z49Medicare ID - Type UnspecifiedDC MEDICARE
MD359371100Medicaid
DC550649Medicare PIN