Healthcare Provider Details

I. General information

NPI: 1750305660
Provider Name (Legal Business Name): ZAI-FENG HUANG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 10/31/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

811 E PARRISH AVE
OWENSBORO KY
42303-3258
US

IV. Provider business mailing address

811 E PARRISH AVE
OWENSBORO KY
42303-3258
US

V. Phone/Fax

Practice location:
  • Phone: 270-688-3371
  • Fax: 270-688-3370
Mailing address:
  • Phone: 270-688-3371
  • Fax: 270-688-3370

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD00045894
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number41439
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: