Healthcare Provider Details

I. General information

NPI: 1508213539
Provider Name (Legal Business Name): CATHY QI ZHANG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2016
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

235 SAINT ANN DR STE 2
MANDEVILLE LA
70471-3396
US

IV. Provider business mailing address

59 HUMMINGBIRD RD
COVINGTON LA
70433-4505
US

V. Phone/Fax

Practice location:
  • Phone: 985-221-7272
  • Fax: 985-299-2040
Mailing address:
  • Phone: 225-276-3786
  • Fax: 985-221-7272

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number32635
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number32635
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: