Provider Demographics
NPI:1750305660
Name:HUANG, ZAI-FENG (MD)
Entity Type:Individual
Prefix:
First Name:ZAI-FENG
Middle Name:
Last Name:HUANG
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 1:811 E PARRISH AVE
Mailing Address - Street 2:
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42303-3258
Mailing Address - Country:US
Mailing Address - Phone:270-688-3371
Mailing Address - Fax:270-688-3370
Practice Address - Street 1:811 E PARRISH AVE
Practice Address - Street 2:
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42303-3258
Practice Address - Country:US
Practice Address - Phone:270-688-3371
Practice Address - Fax:270-688-3370
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2008-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00045894207R00000X
KY41439207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY0992321OtherMEDICARE
KYP00471689OtherRR MEDICARE
KY000000586357OtherBCBS
KY7100043540Medicaid
KY000000586357OtherBCBS