Provider Demographics
NPI:1467554071
Name:ZHANG, ZHENG-GANG (MD)
Entity Type:Individual
Prefix:
First Name:ZHENG-GANG
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 1:25 N 14TH ST
Mailing Address - Street 2:SUITE 920
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95112-6204
Mailing Address - Country:US
Mailing Address - Phone:408-993-8764
Mailing Address - Fax:408-993-8765
Practice Address - Street 1:25 N 14TH ST
Practice Address - Street 2:SUITE 920
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95112-6204
Practice Address - Country:US
Practice Address - Phone:408-993-8764
Practice Address - Fax:408-993-8765
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-03
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA66053208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A660530Medicaid
CAG14911Medicare UPIN
CA00A660530Medicare ID - Type Unspecified
CAP00451081Medicare PIN