Dr. Dong Fang Zhao , MD
General Practice • Grosse Pointe Park, MI
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Dong Fang Zhao has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Dong Fang Zhao, MD was a registered General Practice practicing in Grosse Pointe Park, MI. Throughout an active medical career spanning 1 years, Dr. Zhao provided care at the practice location at 15001 KERCHEVAL AVE PMB 502 until profile deactivation on 2019-12-16.
Practice Location & Contact Primary Location
15001 Kercheval Ave Pmb 502
Grosse Pointe Park, MI 482301361
Specialty Benchmarks & Practice Insights
Comparative analytics for General Practice in Grosse Pointe Park, MI
Practicing in Grosse Pointe Park, MI (445 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2022-07-12NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 15001 KERCHEVAL AVE PMB 502, GROSSE POINTE PARK, MI 482301361 (Tel: 8103227952)
Registered at 15001 KERCHEVAL AVE PMB 502, GROSSE POINTE PARK, MI 482301361 (Tel: 8103227952)
Registered at 2168 GULLIVER DR, TROY, MI 480851034 (Tel: 8103227952)
Registered at 2168 GULLIVER DR, TROY, MI 480851034 (Tel: 8103227952)
General Practice (License #4301505594 in MI)
Registered at 6071 WEST OUTER DRIVE SINAI-GRACE HOSPITAL/DMC,, DEPARTMENT OF MEDICINE, 4TH FLOOR, M-408, DETROIT, MI 48235 (Tel: 3139661728)
Registered at 6071 WEST OUTER DRIVE SINAI-GRACE HOSPITAL/DMC,, DEPARTMENT OF MEDICINE, 4TH FLOOR, M-408, DETROIT, MI 48235 (Tel: 3139661728)
Recorded as DONG FANG ZHAO, M.D.
Student in an Organized Health Care Education/Training Program
Record deactivated on December 16, 2019
NPI status registered as active in NPPES database
Registered at 6071 WEST OUTER DRIVE, SINAI-GRACE HOSPITAL/DMC, 4TH FLOOR M-408, DEPARTMENT OF MEDICINE, DETROIT, MI 48235 (Tel: 3139661728)
Registered at 1880 EAST KENT AVENUE SOUTH, SUITE 306, VANCOUVER, BC V5P 2S7
Recorded as DONG FANG ZHAO, M.D.
Student in an Organized Health Care Education/Training Program
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
15001 Kercheval Ave Pmb 502
Grosse Pointe Park, MI 482301361
Phone: 8103227952
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