Healthcare Provider Details

I. General information

NPI: 1205321056
Provider Name (Legal Business Name): YONGKANG ZHANG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2018
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 MASSACHUSETTS AVE CROSSTOWN 2
BOSTON(617)-638-8000 MA
02118
US

IV. Provider business mailing address

960 MASSACHUSETTS AVE STE 2
BOSTON MA
02118
US

V. Phone/Fax

Practice location:
  • Phone: 617-414-7399
  • Fax: 617-414-4676
Mailing address:
  • Phone: 617-414-7399
  • Fax: 617-414-4676

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberLP05951
License Number StateRI
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number1027734
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: