Provider Demographics
NPI:1740754225
Name:ZHANG, TAK CHING
Entity Type:Individual
Prefix:
First Name:TAK
Middle Name:CHING
Last Name:ZHANG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 PORPOISE LN
Mailing Address - Street 2:
Mailing Address - City:RIVA
Mailing Address - State:MD
Mailing Address - Zip Code:21140-1115
Mailing Address - Country:US
Mailing Address - Phone:301-768-0017
Mailing Address - Fax:
Practice Address - Street 1:800 6TH ST NW APT 217
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20001-3757
Practice Address - Country:US
Practice Address - Phone:301-768-0017
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-17
Last Update Date:2019-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant