Provider Demographics
NPI:1659344208
Name:ZANG, TODD J (DPM)
Entity Type:Individual
Prefix:DR
First Name:TODD
Middle Name:J
Last Name:ZANG
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9811 W CHARLESTON BLVD # 2859
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-7528
Mailing Address - Country:US
Mailing Address - Phone:702-838-8558
Mailing Address - Fax:866-691-8994
Practice Address - Street 1:9811 W CHARLESTON BLVD # 2859
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-7528
Practice Address - Country:US
Practice Address - Phone:702-838-8558
Practice Address - Fax:866-691-8994
Is Sole Proprietor?:No
Enumeration Date:2006-02-13
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV9906213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV002102179Medicaid
NVP00367642OtherRAILROAD MEDICARE
NV002102179Medicaid
NVV103353Medicare PIN