Provider Demographics
NPI:1609257781
Name:ZHANG, PENGCHENG (MD)
Entity Type:Individual
Prefix:DR
First Name:PENGCHENG
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 1:19020 33RD AVE W STE 210
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036-4748
Mailing Address - Country:US
Mailing Address - Phone:425-563-1500
Mailing Address - Fax:425-563-1501
Practice Address - Street 1:6900 N PECOS RD
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89086-4400
Practice Address - Country:US
Practice Address - Phone:702-791-9000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-15
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD611317932085R0202X, 2085B0100X
CAA1666782085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody Imaging
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0439778OtherL & I - SOUTH SOUND RADIOLOGY
WA0414587OtherL & I - SEATTLE RADIOLOGY
WA0439777OtherL & I - EVERGREEN RADIA
WA0439774OtherL & I - RADIA
WA0439775OtherL & I - RADIA
WA0439776OtherL & I - SWEDISH RADIA
WA2180078Medicaid
WA0433425OtherL & I - VANCOUVER RADIOLOGISTS