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1033648712

NPI Code Detail

MEDICARE: YANQIU ZHENG MD

MEDICARE: YANQIU ZHENG MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085B0100X	Body Imaging Physician	T6089	TX
2	2085R0202X	Diagnostic Radiology Physician	T6089	TX

General Provider Information

NPI Number	:	1033648712
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YANQIU ZHENG MD

Provider Business Mailing Address
First Line	:	3930 MCKINNEY AVE APT 459
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75204-2076
Country	:	US
Telephone Number	:	214-886-5764
Fax Number	:

Provider Business Practice Location Address
First Line	:	1820 PRESTON PARK BLVD STE 2400
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-3716
Country	:	US
Telephone Number	:	972-867-7862
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2017
Last Update Date	:	01/30/2024

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Directions to “ YANQIU ZHENG MD” Practice Location

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