MEDICARE: XIAN ZHANG MD, PHD

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	2084P0804X	Child & Adolescent Psychiatry Physician	D0083309	MD

General Provider Information

NPI Number	:	1548686256
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	XIAN ZHANG MD, PHD

Provider Business Mailing Address
First Line	:	605 S CHAPEL GATE LN
Second Line	:	COTTAGE A
City	:	BALTIMORE
State	:	MD
Zip	:	21229-3999
Country	:	US
Telephone Number	:	410-368-7604
Fax Number	:	410-368-7703

Provider Business Practice Location Address
First Line	:	9841 BROKEN LAND PKWY STE 211
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21046-3068
Country	:	US
Telephone Number	:	240-708-4334
Fax Number	:	240-708-4153

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

Provider Enumeration Date	:	03/05/2014
Last Update Date	:	02/04/2025

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