1083932578 NPI number — YU ZHANG MD

Table of content: YU ZHANG MD (NPI 1083932578)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1083932578 NPI number — YU ZHANG MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ZHANG
Provider First Name:
YU
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1083932578
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
YALE MEDICAL SCHOOL
Provider Second Line Business Mailing Address:
333 CEDAR ST. PO BOX #208028
Provider Business Mailing Address City Name:
NEW HAVEN
Provider Business Mailing Address State Name:
CT
Provider Business Mailing Address Postal Code:
06510-3220
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
203-785-7870
Provider Business Mailing Address Fax Number:
203-785-4116

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
SMILOW CANCER HOSPITAL, 20 YORK STREET
Provider Second Line Business Practice Location Address:
NP4
Provider Business Practice Location Address City Name:
NEW HAVEN
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06510
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-200-5864
Provider Business Practice Location Address Fax Number:
203-688-3501
Provider Enumeration Date:
05/10/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RX0202X , with the licence number:  56866 , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)