Healthcare Provider Details

I. General information

NPI: 1548686256
Provider Name (Legal Business Name): XIAN ZHANG MD, PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/05/2014
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

605 S CHAPEL GATE LN COTTAGE A
BALTIMORE MD
21229-3999
US

IV. Provider business mailing address

605 S CHAPEL GATE LN COTTAGE A
BALTIMORE MD
21229-3999
US

V. Phone/Fax

Practice location:
  • Phone: 410-368-7604
  • Fax: 410-368-7703
Mailing address:
  • Phone: 410-368-7604
  • Fax: 410-368-7703

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberD0083309
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberD0083309
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: