Healthcare Provider Details

I. General information

NPI: 1174143937
Provider Name (Legal Business Name): JAIMEI ZHANG WENDT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/22/2020
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1435 S ALMA SCHOOL RD
CHANDLER AZ
85286-7144
US

IV. Provider business mailing address

1435 S ALMA SCHOOL RD
CHANDLER AZ
85286-7144
US

V. Phone/Fax

Practice location:
  • Phone: 480-668-1600
  • Fax: 480-668-1600
Mailing address:
  • Phone: 480-668-1600
  • Fax: 480-668-1600

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number77016
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: