Rong Zhang M.d., Ph.d. Llc | |
3333 N Calvert St Suite 575 Baltimore MD 21218-2867 | |
(410) 261-8558 | |
(410) 261-8744 |
Full Name | Rong Zhang M.d., Ph.d. Llc |
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Speciality | Clinic/Center |
Location | 3333 N Calvert St, Baltimore, Maryland |
Authorized Official Name and Position | Rong Zhang (OWNER) |
Authorized Official Contact | 4102618558 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Rong Zhang M.d., Ph.d. Llc Po Box 97 West Friendship MD 21794-0097 Ph: (410) 261-8558 | Rong Zhang M.d., Ph.d. Llc 3333 N Calvert St Suite 575 Baltimore MD 21218-2867 Ph: (410) 261-8558 |
NPI Number | 1891904926 |
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Provider Enumeration Date | 05/22/2007 |
Last Update Date | 10/13/2023 |
Medicare PECOS PAC ID | 1254222490 |
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Medicare Enrollment ID | O20040324001339 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891904926 | NPI | - | NPPES |
406053900 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | D055059 (Maryland) | Primary |
Provider Name | Rong Zhang |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1669421855 PECOS PAC ID: 8628046182 Enrollment ID: I20040922000485 |
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