Provider Demographics
NPI:1215511340
Name:ZAIDAN, BURUJ IBRAHIM A (MBBS)
Entity type:Individual
Prefix:
First Name:BURUJ
Middle Name:IBRAHIM A
Last Name:ZAIDAN
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 SOUTH GREENE STREET
Mailing Address - Street 2:EDUCATION OFFICE N3E09
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201
Mailing Address - Country:US
Mailing Address - Phone:410-328-1142
Mailing Address - Fax:410-328-0267
Practice Address - Street 1:22 SOUTH GREENE STREET
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201
Practice Address - Country:US
Practice Address - Phone:410-328-1142
Practice Address - Fax:410-328-0267
Is Sole Proprietor?:No
Enumeration Date:2021-05-05
Last Update Date:2022-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program