Healthcare Provider Details

I. General information

NPI: 1356381537
Provider Name (Legal Business Name): WEN ZHONG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2006
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5000 KY ROUTE 321
PRESTONSBURG KY
41653-9113
US

IV. Provider business mailing address

6047 W KRISTAL WAY
GLENDALE AZ
85308-7802
US

V. Phone/Fax

Practice location:
  • Phone: 606-886-7645
  • Fax: 606-889-6206
Mailing address:
  • Phone: 623-876-3800
  • Fax: 623-972-9590

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number27367
License Number StateWV
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number26766
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberM-14778
License Number StateID
# 4
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD60405795
License Number StateWA
# 5
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberC3164
License Number StateKY
# 6
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberM-14778
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: