Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | MD60457085 | WA |
N | 207RC0000X | Internist - Cardiovascular Disease | MD60457085 | WA |
NPI | 1922274968 |
---|---|
Provider Name | David Yi Zhang |
First Address | Tacoma, WA 98405-5305 |
Second Address | Tacoma, WA 98405-5305 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/04/2008 |
Last Update Date | 06/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
327187 | STATE L&I (01) | WA |