Healthcare Provider Details

I. General information

NPI: 1730446865
Provider Name (Legal Business Name): ZIWEI ZHANG MD, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2012
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

940 NE 13TH ST # 3G3210
OKLAHOMA CITY OK
73104-5008
US

IV. Provider business mailing address

PO BOX 7946
ROCKY MOUNT NC
27804-0946
US

V. Phone/Fax

Practice location:
  • Phone: 405-271-1654
  • Fax: 405-271-3462
Mailing address:
  • Phone: 252-443-4024
  • Fax: 252-443-5021

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085N0700X
TaxonomyNeuroradiology Physician
License Number47681
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number193368
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: