Provider Demographics
NPI:1477577435
Name:ZHANG, DONGHONG (MD)
Entity Type:Individual
Prefix:
First Name:DONGHONG
Middle Name:
Last Name:ZHANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:DONNA
Other - Middle Name:
Other - Last Name:ZHANG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:9950 MEMORIAL BLVD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-4281
Mailing Address - Country:US
Mailing Address - Phone:281-446-6803
Mailing Address - Fax:
Practice Address - Street 1:11104 PARKVIEW CIRCLE DR STE 410
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46845-0025
Practice Address - Country:US
Practice Address - Phone:260-266-5260
Practice Address - Fax:260-266-5279
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM2879207RC0200X, 207RP1001X
IL036161274207RC0200X, 207RP1001X
IN01082710A207RP1001X
TN67202207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX179143601Medicaid
TXI11190Medicare UPIN
TX8G2835Medicare PIN
GAP00300999Medicare PIN