Healthcare Provider Details

I. General information

NPI: 1902163173
Provider Name (Legal Business Name): MING ZHANG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2012
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9201 W THOMAS RD
PHOENIX AZ
85037-3332
US

IV. Provider business mailing address

6644 E BAYWOOD AVE BANNER BAYWOOD MEDICAL CENTER
MESA AZ
85206
US

V. Phone/Fax

Practice location:
  • Phone: 623-327-7313
  • Fax: 623-327-5437
Mailing address:
  • Phone: 480-321-3900
  • Fax: 480-321-3840

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number51066
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number51066
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: