Healthcare Provider Details

I. General information

NPI: 1629055611
Provider Name (Legal Business Name): ZIRONG ZHAO M.D.,
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/29/2005
Last Update Date: 03/18/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 DELAFIELD RD SUITE 2070
PITTSBURGH PA
15215-3205
US

IV. Provider business mailing address

14420 CHRISMAN HILL DR
BOYDS MD
20841-9038
US

V. Phone/Fax

Practice location:
  • Phone: 412-784-5343
  • Fax: 412-784-5350
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberD57937
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD33231
License Number StateDC
# 3
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License NumberD57937
License Number StateMD
# 4
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License NumberMD33231
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: