Provider Demographics
NPI:1184681660
Name:ZANG, MICHAEL D (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:D
Last Name:ZANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 GEIPE RD STE 275
Mailing Address - Street 2:
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-4152
Mailing Address - Country:US
Mailing Address - Phone:443-636-3100
Mailing Address - Fax:443-636-3101
Practice Address - Street 1:700 GEIPE RD STE 275
Practice Address - Street 2:
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-4152
Practice Address - Country:US
Practice Address - Phone:443-636-3100
Practice Address - Fax:443-636-3101
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-27
Last Update Date:2021-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0054426207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD342102300Medicaid
MDKF68/718214-02OtherBC/BS
MDKL28/I397Medicare ID - Type Unspecified
MDKF68/718214-02OtherBC/BS