Provider Demographics
NPI:1801098702
Name:ZHANG, KATIE YAOHUA (MD)
Entity type:Individual
Prefix:
First Name:KATIE
Middle Name:YAOHUA
Last Name:ZHANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:451 HUNGERFORD DR, STE 607
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-5106
Mailing Address - Country:US
Mailing Address - Phone:301-972-9683
Mailing Address - Fax:301-972-9178
Practice Address - Street 1:451 HUNGERFORD DR, STE 607
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-5106
Practice Address - Country:US
Practice Address - Phone:301-972-9683
Practice Address - Fax:301-972-9178
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-03
Last Update Date:2019-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0071025207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY3328030Medicaid
NY3328030Medicaid