Provider Demographics
NPI:1598930471
Name:ZHAO, YONGDONG (MD)
Entity Type:Individual
Prefix:
First Name:YONGDONG
Middle Name:
Last Name:ZHAO
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 1:4800 SAND POINT WAY NE
Mailing Address - Street 2:M.A. 7.110
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-2601
Mailing Address - Country:US
Mailing Address - Phone:206-987-2057
Mailing Address - Fax:206-987-5060
Practice Address - Street 1:4800 SAND POINT WAY NE,
Practice Address - Street 2:M/S MA7.110
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105
Practice Address - Country:US
Practice Address - Phone:206-987-2057
Practice Address - Fax:206-987-5060
Is Sole Proprietor?:No
Enumeration Date:2008-04-23
Last Update Date:2019-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD60329823208000000X, 2080P0216X
PAMD443409208000000X
MT26318208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0216XAllopathic & Osteopathic PhysiciansPediatricsPediatric Rheumatology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics