Healthcare Provider Details

I. General information

NPI: 1982883989
Provider Name (Legal Business Name): Z AND Z PODIATRY LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2007
Last Update Date: 01/06/2020
Certification Date: 01/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3930 E PATRICK LN
LAS VEGAS NV
89120-4924
US

IV. Provider business mailing address

9811 W CHARLESTON BLVD 2-859
LAS VEGAS NV
89117-7528
US

V. Phone/Fax

Practice location:
  • Phone: 702-838-8558
  • Fax: 866-691-8994
Mailing address:
  • Phone: 702-838-8558
  • Fax: 702-240-5158

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License Number9906
License Number StateNV

VIII. Authorized Official

Name: TODD ZANG
Title or Position: MANAGING MEMBER
Credential: DPM
Phone: 702-838-8558