Provider Demographics
NPI:1376047415
Name:ZHANG, CRYSTAL LI (MD)
Entity Type:Individual
Prefix:
First Name:CRYSTAL
Middle Name:LI
Last Name:ZHANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Mailing Address - Street 1:450 VETERANS MEMORIAL PKWY BLDG 5
Mailing Address - Street 2:
Mailing Address - City:EAST PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02914-5300
Mailing Address - Country:US
Mailing Address - Phone:401-431-1119
Mailing Address - Fax:401-431-1119
Practice Address - Street 1:450 VETERANS MEMORIAL PKWY BLDG 5
Practice Address - Street 2:
Practice Address - City:EAST PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02914-5300
Practice Address - Country:US
Practice Address - Phone:401-431-1119
Practice Address - Fax:401-431-1119
Is Sole Proprietor?:No
Enumeration Date:2018-03-22
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD19316207WX0120X
FLME155559207WX0120X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207WX0120XAllopathic & Osteopathic PhysiciansOphthalmologyCornea and External Diseases Specialist