MEDICARE: DR. FAN ZHANG DO

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	2084N0400X	Neurology Physician	DO2684	NV

General Provider Information

NPI Number	:	1659735017
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FAN ZHANG DO

Provider Business Mailing Address
First Line	:	1930 VILLAGE CENTER CIR STE 3-717
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89134-6299
Country	:	US
Telephone Number	:	702-432-2233
Fax Number	:	702-800-5456

Provider Business Practice Location Address
First Line	:	2020 WELLNESS WAY STE 300
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89106-4145
Country	:	US
Telephone Number	:	702-432-2233
Fax Number	:	702-800-5456

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/11/2016
Last Update Date	:	12/03/2025

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Directions to “ DR. FAN ZHANG DO” Practice Location

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