Provider Demographics
NPI:1497846828
Name:ZHANG, JAMES JING (MD, PHD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:JING
Last Name:ZHANG
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6330 CASTLEPLACE DR
Mailing Address - Street 2:SUITE 130
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46250-1902
Mailing Address - Country:US
Mailing Address - Phone:317-570-7900
Mailing Address - Fax:317-570-2288
Practice Address - Street 1:9302 N MERIDIAN ST
Practice Address - Street 2:SUITE 101
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46260-1841
Practice Address - Country:US
Practice Address - Phone:317-570-7900
Practice Address - Fax:317-570-2288
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2016-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01057326A2084N0400X, 2084N0600X, 2084S0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology
No2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200331420Medicaid
IN200331420Medicaid
IN114860UUMedicare PIN