Healthcare Provider Details

I. General information

NPI: 1205988599
Provider Name (Legal Business Name): XINGLONG ZHENG M.D., PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: X. LONG ZHENG M.D., PH.D.

II. Dates (important events)

Enumeration Date: 01/17/2007
Last Update Date: 10/14/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

619 19TH ST S WP P230K
BIRMINGHAM AL
35249-7331
US

IV. Provider business mailing address

619 19TH STREET S WP P230K
BIRMINGHAM AL
35243
US

V. Phone/Fax

Practice location:
  • Phone: 205-975-8161
  • Fax:
Mailing address:
  • Phone: 205-975-8161
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMD421162
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207ZB0001X
TaxonomyBlood Banking & Transfusion Medicine Physician
License NumberL4061DP
License Number StateAL
# 3
Primary TaxonomyN
Taxonomy Code207ZC0006X
TaxonomyClinical Pathology Physician
License NumberL406DP
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: