Provider Demographics
NPI:1841305257
Name:ZHANG, YUANHUI (MD)
Entity type:Individual
Prefix:
First Name:YUANHUI
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 1:225 KENSINGTON CT
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:WV
Mailing Address - Zip Code:24740-4260
Mailing Address - Country:US
Mailing Address - Phone:312-513-5339
Mailing Address - Fax:888-451-3795
Practice Address - Street 1:225 KENSINGTON CT
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:WV
Practice Address - Zip Code:24740-4260
Practice Address - Country:US
Practice Address - Phone:312-513-5339
Practice Address - Fax:888-451-3795
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-19
Last Update Date:2014-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA36772208100000X
TXP6304208100000X
FLME107968208100000X
ORMD160013208100000X
WV25999208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX288489202Medicaid