Healthcare Provider Details

I. General information

NPI: 1629903547
Provider Name (Legal Business Name): YOUR HEALTH RI DIRECT PRIMARY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2026
Last Update Date: 06/13/2026
Certification Date: 06/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1445 WAMPANOAG TRL UNIT 205
RIVERSIDE RI
02915-1019
US

IV. Provider business mailing address

1445 WAMPANOAG TRL UNIT 205
RIVERSIDE RI
02915-1019
US

V. Phone/Fax

Practice location:
  • Phone: 401-388-3354
  • Fax: 401-710-8659
Mailing address:
  • Phone: 401-388-3354
  • Fax: 401-710-8659

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DEQIANG ZHANG
Title or Position: MD, CO-OWNER
Credential: MD
Phone: 732-789-3638