Provider Demographics
NPI:1154606788
Name:ZENITH MEDICAL CARE, LLC
Entity type:Organization
Organization Name:ZENITH MEDICAL CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:OLUYEMISI
Authorized Official - Middle Name:O
Authorized Official - Last Name:ADEWUNMI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:240-654-2389
Mailing Address - Street 1:5808 MARIETTA STATION DR
Mailing Address - Street 2:
Mailing Address - City:GLENN DALE
Mailing Address - State:MD
Mailing Address - Zip Code:20769-9138
Mailing Address - Country:US
Mailing Address - Phone:240-654-2389
Mailing Address - Fax:240-205-8617
Practice Address - Street 1:5808 MARIETTA STATION DR
Practice Address - Street 2:
Practice Address - City:GLENN DALE
Practice Address - State:MD
Practice Address - Zip Code:20769-9138
Practice Address - Country:US
Practice Address - Phone:240-654-2389
Practice Address - Fax:240-205-8617
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-14
Last Update Date:2012-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD59418207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty