Healthcare Provider Details

I. General information

NPI: 1477577435
Provider Name (Legal Business Name): DONGHONG ZHANG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DONNA ZHANG MD

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 02/06/2023
Certification Date: 02/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11104 PARKVIEW CIRCLE DR STE 410
FORT WAYNE IN
46845-0025
US

IV. Provider business mailing address

9950 MEMORIAL BLVD SUITE 102
HUMBLE TX
77338-4281
US

V. Phone/Fax

Practice location:
  • Phone: 260-266-5260
  • Fax: 260-266-5279
Mailing address:
  • Phone: 281-446-6803
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberM2879
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number036161274
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberM2879
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number01082710A
License Number StateIN
# 5
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number036161274
License Number StateIL
# 6
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number67202
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: