Provider Demographics
NPI:1144546961
Name:ZHANG, YUANYUAN (MD)
Entity type:Individual
Prefix:DR
First Name:YUANYUAN
Middle Name:
Last Name:ZHANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 BECKS WOODS DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:BEAR
Mailing Address - State:DE
Mailing Address - Zip Code:19701-3851
Mailing Address - Country:US
Mailing Address - Phone:302-834-7676
Mailing Address - Fax:302-834-9202
Practice Address - Street 1:121 BECKS WOODS DR
Practice Address - Street 2:SUITE 200
Practice Address - City:BEAR
Practice Address - State:DE
Practice Address - Zip Code:19701-3851
Practice Address - Country:US
Practice Address - Phone:302-834-7676
Practice Address - Fax:302-834-9202
Is Sole Proprietor?:No
Enumeration Date:2010-04-19
Last Update Date:2015-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0009709207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1073567418Medicaid
DE1073567418Medicaid