Individual
GUANGQUAN ZHAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1615 DELAWARE ST, LONGVIEW, WA 98632-2367
(360) 414-7878
Mailing address
25511 BUDDE RD STE 1201, THE WOODLANDS, TX 77380-2091
(281) 364-1707
(281) 364-0028
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD60331815
WA
207RH0000X
Hematology (Internal Medicine) Physician
MD60331815
WA
207RH0003X
Hematology & Oncology Physician
N4226
TX
207RX0202X
Medical Oncology Physician
Primary
MD60331815
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
316367702
—
TX
05
—
316367704
—
TX
Enumeration date
05/23/2007
Last updated
03/17/2018
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