Individual
DR. KAVEH ZAKERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30077 BUSINESS CENTER DR, CHARLOTTE HALL, MD 20622
(301) 884-2508
(301) 884-2478
Mailing address
PO BOX 418837, BOSTON, MA 02241-8837
(888) 846-5527
(607) 324-7615
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
DO085614
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
MD
Enumeration date
03/26/2013
Last updated
07/24/2018
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