Healthcare Provider Details

I. General information

NPI: 1831427640
Provider Name (Legal Business Name): ZHIHENG HE M.D., PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/07/2009
Last Update Date: 02/13/2021
Certification Date: 01/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1493 CAMBRIDGE STREET MEDICAL SPECIALTY
CAMBRIDGE MA
02139
US

IV. Provider business mailing address

1493 CAMBRIDGE STREET MEDICAL SPECIALTY
CAMBRIDGE MA
02139
US

V. Phone/Fax

Practice location:
  • Phone: 617-665-1552
  • Fax:
Mailing address:
  • Phone: 617-665-1552
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number246747
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number246747
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: