Basic Information
Provider Information
NPI: 1114459856
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZHANG
FirstName: HANCI
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2301 ERWIN RD
Address2:  
City: DURHAM
State: NC
PostalCode: 277054699
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 210 E GRAY ST STE 900
Address2:  
City: LOUISVILLE
State: KY
PostalCode: 402023905
CountryCode: US
TelephoneNumber: 5025847525
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/31/2017
LastUpdateDate: 07/15/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/15/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
207X00000XTP864KYY Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 

No ID Information.


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