Provider Demographics
NPI:1497747364
Name:ZHANG, ALEXANDER L (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:L
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 1:10701 ROSEMARY DR
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20109-7282
Mailing Address - Country:US
Mailing Address - Phone:703-257-3000
Mailing Address - Fax:703-257-3057
Practice Address - Street 1:10701 ROSEMARY DR
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20109-7282
Practice Address - Country:US
Practice Address - Phone:703-257-3000
Practice Address - Fax:703-257-3057
Is Sole Proprietor?:No
Enumeration Date:2005-08-17
Last Update Date:2021-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0062711208000000X
DCMD040935208000000X
VA0101248066208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD408028900Medicaid