=====================================================
General NPI Number Information
=====================================================
NPI Number | 1578994547
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RHEUMATOLOGY CONSULTANTS, DR. ZHANG
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/02/2013
-----------------------------------------------------
Last Update Date | 05/17/2016
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9031 SHADY GROVE CT
-----------------------------------------------------
City | GAITHERSBURG
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20877-1301
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 301-537-1183
-----------------------------------------------------
Fax | 301-560-5633
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9031 SHADY GROVE CT
-----------------------------------------------------
City | GAITHERSBURG
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20877-1301
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 301-537-1183
-----------------------------------------------------
Fax | 301-560-5633
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | YINGXUE ZHANG
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 301-537-1183
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RR0500X
-----------------------------------------------------
Taxonomy Name | Rheumatology Physician
-----------------------------------------------------
License Number | D0076700
-----------------------------------------------------
License Number State | MD
-----------------------------------------------------