Provider Demographics
NPI:1073691986
Name:ZHANG, WENBIAO (MD)
Entity Type:Individual
Prefix:
First Name:WENBIAO
Middle Name:
Last Name:ZHANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7181 N MILLBROOK AVE STE 112
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-3364
Mailing Address - Country:US
Mailing Address - Phone:559-940-4351
Mailing Address - Fax:559-432-9332
Practice Address - Street 1:7181 N MILLBROOK AVE STE 112
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-3364
Practice Address - Country:US
Practice Address - Phone:559-447-8956
Practice Address - Fax:559-432-9332
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2017-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA74340207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A743400Medicaid
CA00A743400Medicaid
H45889Medicare UPIN