Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 26318 | MT |
N | 208000000X | Pediatrician | MD443409 | PA |
N | 208000000X | Pediatrician | MD60329823 | WA |
Y | 2080P0216X | Pediatric Rheumatologist | MD60329823 | WA |
NPI | 1598930471 |
---|---|
Provider Name | Yongdong Zhao |
First Address | Seattle, WA 98105-2601 |
Second Address | Seattle, WA 98105 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2008 |
Last Update Date | 12/06/2019 |