Healthcare Provider Details

I. General information

NPI: 1265828438
Provider Name (Legal Business Name): RICHARD ZHENG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/14/2015
Last Update Date: 10/01/2024
Certification Date: 10/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1015 CHESTNUT ST SUITE 620
PHILADELPHIA PA
19107-4316
US

IV. Provider business mailing address

1015 WALNUT ST STE 620
PHILADELPHIA PA
19107-5005
US

V. Phone/Fax

Practice location:
  • Phone: 215-955-6864
  • Fax: 215-955-2878
Mailing address:
  • Phone: 215-955-6864
  • Fax: 215-955-2878

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License NumberMD463023
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: