Provider Demographics
NPI:1942225776
Name:ZINNES, ANCA GABRIELA (MD)
Entity type:Individual
Prefix:
First Name:ANCA
Middle Name:GABRIELA
Last Name:ZINNES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 MILESTONE DR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-2709
Mailing Address - Country:US
Mailing Address - Phone:301-681-8277
Mailing Address - Fax:
Practice Address - Street 1:4501 CONNECTICUT AVE NW APT 1011
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20008-3739
Practice Address - Country:US
Practice Address - Phone:301-404-0156
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-13
Last Update Date:2008-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00628292084P0800X
DCMD0359562084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD010428100Medicaid
DC492205Medicare PIN
DC020794H71Medicare PIN