Provider Demographics
NPI:1003021973
Name:ZHANG, ALEXANDRA (MD)
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:
Last Name:ZHANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 AUBURN DR
Mailing Address - Street 2:STE 120
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-4328
Mailing Address - Country:US
Mailing Address - Phone:216-342-3333
Mailing Address - Fax:
Practice Address - Street 1:566 WHITE POND DR
Practice Address - Street 2:SUITE E
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44320-1116
Practice Address - Country:US
Practice Address - Phone:330-535-7100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-13
Last Update Date:2020-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALL2652207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
111840Medicare UPIN