MEDICARE: DR. ZIRONG ZHAO M.D.,

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	207R00000X	Internal Medicine Physician	D57937	MD
2	207R00000X	Internal Medicine Physician	MD33231	DC
3	208VP0014X	Interventional Pain Medicine Physician	D57937	MD
4	208VP0014X	Interventional Pain Medicine Physician	MD33231	DC

General Provider Information

NPI Number	:	1629055611
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ZIRONG ZHAO M.D.,

Provider Business Mailing Address
First Line	:	14420 CHRISMAN HILL DR
Second Line	:
City	:	BOYDS
State	:	MD
Zip	:	20841-9038
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 DELAFIELD RD
Second Line	:	SUITE 2070
City	:	PITTSBURGH
State	:	PA
Zip	:	15215-3205
Country	:	US
Telephone Number	:	412-784-5343
Fax Number	:	412-784-5350

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

Provider Enumeration Date	:	12/29/2005
Last Update Date	:	03/18/2009

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