| Xiaochun Zhang Inc. | |
|
2102 Gallows Rd # D Vienna VA 22182-3960 | |
| (702) 761-1644 | |
| (703) 761-1645 |
| Full Name | Xiaochun Zhang Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2102 Gallows Rd # D, Vienna, Virginia |
| Authorized Official Name and Position | Xiaochun Zhang (MANAGER) |
| Authorized Official Contact | 7037611644 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Xiaochun Zhang Inc. 2102 Gallows Rd # D Vienna VA 22182-3960 Ph: (702) 761-1644 | Xiaochun Zhang Inc. 2102 Gallows Rd # D Vienna VA 22182-3960 Ph: (702) 761-1644 |
| NPI Number | 1548433766 |
|---|---|
| Provider Enumeration Date | 04/09/2008 |
| Last Update Date | 04/09/2008 |
| Medicare PECOS PAC ID | 2466527593 |
|---|---|
| Medicare Enrollment ID | O20080825000032 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548433766 | NPI | - | NPPES |
| 5809576 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0101054334 (Virginia) | Primary |
| Provider Name | Xiaochun Zhang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710083605 PECOS PAC ID: 2567537681 Enrollment ID: I20080825000009 |
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