Provider Demographics
NPI:1992064968
Name:OSMAN, ZEMZEM ISA
Entity type:Individual
Prefix:
First Name:ZEMZEM
Middle Name:ISA
Last Name:OSMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 SHERIDAN ST APT 315
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20783-3207
Mailing Address - Country:US
Mailing Address - Phone:240-505-4864
Mailing Address - Fax:
Practice Address - Street 1:620 SHERIDAN ST APT 315
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20783-3207
Practice Address - Country:US
Practice Address - Phone:240-505-4864
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-11
Last Update Date:2012-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDO255978344579374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide