Individual
FENG YANG ZHAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
27100 CHARDON RD, RICHMOND HEIGHTS, OH 44143-1116
(440) 585-6141
Mailing address
3716 LONGWOOD CT, CLEVELAND HEIGHTS, OH 44118-1541
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z200248014729
MICHIGAN STATE DRIVER LICENSE
MI
Enumeration date
06/16/2014
Last updated
06/16/2014
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