Healthcare Provider Details

I. General information

NPI: 1376379727
Provider Name (Legal Business Name): HAYES ZHANG
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/11/2024
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4611 SANGAMORE RD STE G
BETHESDA MD
20816-2547
US

IV. Provider business mailing address

9 WARREN LODGE CT APT 1D
COCKEYSVILLE MD
21030-2569
US

V. Phone/Fax

Practice location:
  • Phone: 240-802-5199
  • Fax:
Mailing address:
  • Phone: 301-686-4343
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number30527
License Number StateMD
# 4
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number309947
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: