Individual
QIONG ZHAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PH.D.
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-4001
(703) 776-7113
Mailing address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-4001
(703) 776-7113
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101255837
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160412
NOVITAS MEDICARE
DC
01
—
C06380
MEDICARE PALMETTO GBA
VA
01
—
C08583
MEDICARE PALMETTO GBA
VA
01
—
C09878
MEDICARE PALMETTO GBA
VA
01
—
G00773
NOVITAS MEDICARE
DC
Enumeration date
10/06/2006
Last updated
03/31/2021
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