Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 63248 | TN |
NPI | 1154749927 |
---|---|
Provider Name | Danjing Zhao |
First Address | Johnson City, TN 37604-2579 |
Second Address | Pittsburgh, PA 15212-4756 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2014 |
Last Update Date | 22/06/2021 |