Provider Demographics
NPI:1205338431
Name:SHUMIN ZHANG MD LLC
Entity type:Organization
Organization Name:SHUMIN ZHANG MD LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHUMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-317-6778
Mailing Address - Street 1:10823 MAPLECREST LN
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-6376
Mailing Address - Country:US
Mailing Address - Phone:240-205-2081
Mailing Address - Fax:301-281-4002
Practice Address - Street 1:9710 TRAVILLE GATEWAY DR STE 316
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-7408
Practice Address - Country:US
Practice Address - Phone:240-205-2081
Practice Address - Fax:240-317-6779
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-04
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00768172084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty