Healthcare Provider Details

I. General information

NPI: 1235023201
Provider Name (Legal Business Name): SHOSHANA ZHANG
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2025
Last Update Date: 08/30/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1430 TULANE AVE # 8036
NEW ORLEANS LA
70112-2632
US

IV. Provider business mailing address

1430 TULANE AVE # 8036
NEW ORLEANS LA
70112-2632
US

V. Phone/Fax

Practice location:
  • Phone: 504-988-5114
  • Fax: 504-988-7382
Mailing address:
  • Phone: 504-988-5114
  • Fax: 504-988-7382

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number352075
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: