Provider Demographics
NPI:1508158106
Name:MA, ZHANGLIANG (MD & PHD)
Entity Type:Individual
Prefix:DR
First Name:ZHANGLIANG
Middle Name:
Last Name:MA
Suffix:
Gender:M
Credentials:MD & PHD
Other - Prefix:DR
Other - First Name:JOHN
Other - Middle Name:
Other - Last Name:MA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD & PHD
Mailing Address - Street 1:PO BOX 1960
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72403-1960
Mailing Address - Country:US
Mailing Address - Phone:870-936-8000
Mailing Address - Fax:870-934-3625
Practice Address - Street 1:4802 E JOHNSON AVE
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401
Practice Address - Country:US
Practice Address - Phone:870-936-8000
Practice Address - Fax:870-934-3625
Is Sole Proprietor?:No
Enumeration Date:2011-05-14
Last Update Date:2018-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL34090208100000X
KY48283208100000X
ARE-111542081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation