Provider Demographics
NPI:1528292893
Name:ZHENG, YANFANG (MD)
Entity type:Individual
Prefix:
First Name:YANFANG
Middle Name:
Last Name:ZHENG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12110 BENTRIDGE PL
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-2829
Mailing Address - Country:US
Mailing Address - Phone:240-350-5279
Mailing Address - Fax:
Practice Address - Street 1:12110 BENTRIDGE PL
Practice Address - Street 2:
Practice Address - City:POTOMAC
Practice Address - State:MD
Practice Address - Zip Code:20854-2829
Practice Address - Country:US
Practice Address - Phone:240-350-5279
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-14
Last Update Date:2013-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT195186207R00000X
VA0101251608207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine