MEDICARE: DR. GRANT ZHANG PH.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	171100000X	Acupuncturist	U00572	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	K914	OTHER	MD	CAREFIRST BCBS PROVIDER
2	BK23G	OTHER	MD	CAREFIRST BCBS MD PROVIDE

General Provider Information

NPI Number	:	1699851063
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GRANT ZHANG PH.D

Provider Business Mailing Address
First Line	:	9805 GWYNN PARK DR
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21042-5707
Country	:	US
Telephone Number	:	410-274-0614
Fax Number	:

Provider Business Practice Location Address
First Line	:	4801 DORSEY HALL DR STE 212
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21042-7749
Country	:	US
Telephone Number	:	410-274-0614
Fax Number	:

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

Provider Enumeration Date	:	10/28/2006
Last Update Date	:	07/08/2007

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Directions to “ DR. GRANT ZHANG PH.D” Practice Location

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