Provider Demographics
NPI:1538304035
Name:ZHANG, YUYANG (MD)
Entity Type:Individual
Prefix:DR
First Name:YUYANG
Middle Name:
Last Name:ZHANG
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 1:7253 AMBASSADOR ROAD
Mailing Address - Street 2:CREDENTIALING DEPARTMENT
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21244-2710
Mailing Address - Country:US
Mailing Address - Phone:443-436-1221
Mailing Address - Fax:443-436-1256
Practice Address - Street 1:1209 YORK RD STE 100
Practice Address - Street 2:
Practice Address - City:LUTHERVILLE
Practice Address - State:MD
Practice Address - Zip Code:21093-6208
Practice Address - Country:US
Practice Address - Phone:410-580-2240
Practice Address - Fax:443-436-1256
Is Sole Proprietor?:No
Enumeration Date:2008-12-11
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GUMC-1812085R0202X
MDD00832302085R0202X, 207U00000X
GA72622085R0202X
WAMD60349226207U00000X
MN753702085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No207U00000XAllopathic & Osteopathic PhysiciansNuclear Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1538304035Medicaid
MD121695300Medicaid
WA1538304035Medicaid