Healthcare Provider Details

I. General information

NPI: 1467554071
Provider Name (Legal Business Name): ZHENG-GANG ZHANG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/03/2006
Last Update Date: 03/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 N 14TH ST SUITE 920
SAN JOSE CA
95112-6204
US

IV. Provider business mailing address

25 N 14TH ST SUITE 920
SAN JOSE CA
95112-6204
US

V. Phone/Fax

Practice location:
  • Phone: 408-993-8764
  • Fax: 408-993-8765
Mailing address:
  • Phone: 408-993-8764
  • Fax: 408-993-8765

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA66053
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberA66053
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: