Organization
CHAD ZATEZALO MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD ZATEZALO M.D. (OWNER)
(917) 664-2585
Entity
Organization
Contact information
Practice address
8401 CONNECTICUT AVE STE 640, NORTH CHEVY CHASE, MD 20815-5839
(301) 304-6600
(301) 304-6601
Mailing address
8401 CONNECTICUT AVE STE 640, CHEVY CHASE, MD 20815-9904
(917) 664-2585
Taxonomy
Speciality
Code
Description
License number
State
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
D0074823
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0019
BSD
MD
01
—
1377094
CIGNA
MD
01
—
3196655
UHCMAM
MD
01
—
4014787
FOR
MD
01
—
977656-01
BSM
MD
01
—
P4756972
OXFORD
MD
01
—
PO1109268
RME
MD
Enumeration date
01/19/2017
Last updated
10/26/2023
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