Individual
CHUYANG ZHONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4801 BECKNER RD, SANTA FE, NM 87507-3641
(505) 772-1234
(505) 772-2000
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD2020-0312
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/12/2017
Last updated
06/18/2020
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