MEDICARE: TODD ZANG DPM LTD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	9906	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073614798
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TODD ZANG DPM LTD

Provider Business Mailing Address
First Line	:	9811 W CHARLESTON BLVD
Second Line	:	2-859
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-7528
Country	:	US
Telephone Number	:	702-838-8558
Fax Number	:

Provider Business Practice Location Address
First Line	:	3920 E PATRICK LN
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-3927
Country	:	US
Telephone Number	:	702-838-8558
Fax Number	:	866-691-8994

Authorized Official
Title or Position	:	OWNER
Name	:	DR. TODD JEFFERY ZANG
Credential	:	DPM
Telephone Number	:	702-838-8558

Provider Enumeration Date	:	09/26/2006
Last Update Date	:	01/06/2020

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Directions to “TODD ZANG DPM LTD ” Practice Location

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