Individual
DR. MICHELLE ZIKUSOKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5601 LOCH RAVEN BOULEVARD, RMB SUITE 206, BALTIMORE, MD 21239
(443) 444-5613
Mailing address
5601 LOCH RAVEN BLVD, RMB SUITE 206, BALTIMORE, MD 21239-2945
(443) 444-5613
(443) 444-4606
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
D0069504
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024652200
—
MD
Enumeration date
01/30/2007
Last updated
04/15/2020
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