MEDICARE: DR. CHUNBAI ZHANG M.D., M.P.H.

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	2083X0100X	Occupational Medicine Physician	MD60568670	WA

General Provider Information

NPI Number	:	1194933317
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHUNBAI ZHANG M.D., M.P.H.

Provider Business Mailing Address
First Line	:	PO BOX 34876
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98124-1876
Country	:	US
Telephone Number	:	425-656-5412
Fax Number	:	425-656-4096

Provider Business Practice Location Address
First Line	:	3600 LIND AVE SW
Second Line	:	STE 170
City	:	RENTON
State	:	WA
Zip	:	98057-4934
Country	:	US
Telephone Number	:	425-656-5020
Fax Number	:	425-656-5019

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

Provider Enumeration Date	:	05/20/2007
Last Update Date	:	09/17/2015

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