Provider Demographics
NPI:1831399880
Name:ZHANG, YANZHENG (MD)
Entity type:Individual
Prefix:
First Name:YANZHENG
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:PO BOX 800
Mailing Address - Street 2:
Mailing Address - City:ZACHARY
Mailing Address - State:LA
Mailing Address - Zip Code:70791-0800
Mailing Address - Country:US
Mailing Address - Phone:225-570-8486
Mailing Address - Fax:
Practice Address - Street 1:20203 MACHOST RD
Practice Address - Street 2:
Practice Address - City:ZACHARY
Practice Address - State:LA
Practice Address - Zip Code:70791-7236
Practice Address - Country:US
Practice Address - Phone:225-570-8486
Practice Address - Fax:225-410-3725
Is Sole Proprietor?:No
Enumeration Date:2007-07-18
Last Update Date:2022-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA321037247ZC0005X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247ZC0005XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyClinical Laboratory Director, Non-physician
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
1831399880OtherNPI