# DR. ZHAODI GONG

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1194977603
- **Gender:** F
- **Credential:** MD, PHD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 036139312 | IL | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 131548 | CA | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 52543 | CT | Yes |

## Other

- **Enumeration date:** 10/15/2008
- **Last updated:** 03/08/2017
