Provider Demographics
NPI:1184601007
Name:ZHANG, CHI (MD)
Entity type:Individual
Prefix:
First Name:CHI
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 1:77 HOSPITAL AVE
Mailing Address - Street 2:SUITE 208
Mailing Address - City:NORTH ADAMS
Mailing Address - State:MA
Mailing Address - Zip Code:01247-2550
Mailing Address - Country:US
Mailing Address - Phone:413-664-5445
Mailing Address - Fax:413-664-5444
Practice Address - Street 1:77 HOSPITAL AVE
Practice Address - Street 2:SUITE 208
Practice Address - City:NORTH ADAMS
Practice Address - State:MA
Practice Address - Zip Code:01247-2550
Practice Address - Country:US
Practice Address - Phone:413-664-5445
Practice Address - Fax:413-664-5444
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-30
Last Update Date:2014-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA206108207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1011106Medicaid
MA2038005Medicaid
MA2038005Medicaid
MAA36562Medicare ID - Type Unspecified