Provider Demographics
NPI:1760618532
Name:ZHANG, XIAODONG (MD/MT)
Entity Type:Individual
Prefix:DR
First Name:XIAODONG
Middle Name:
Last Name:ZHANG
Suffix:
Gender:M
Credentials:MD/MT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1625 DARBY RD
Mailing Address - Street 2:
Mailing Address - City:HAVERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19083-3711
Mailing Address - Country:US
Mailing Address - Phone:484-453-8362
Mailing Address - Fax:610-789-5003
Practice Address - Street 1:1625 DARBY RD
Practice Address - Street 2:
Practice Address - City:HAVERTOWN
Practice Address - State:PA
Practice Address - Zip Code:19083-3711
Practice Address - Country:US
Practice Address - Phone:484-453-8362
Practice Address - Fax:610-789-5003
Is Sole Proprietor?:No
Enumeration Date:2009-06-06
Last Update Date:2010-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No367H00000XPhysician Assistants & Advanced Practice Nursing ProvidersAnesthesiologist Assistant
No211D00000XPodiatric Medicine & Surgery Service ProvidersAssistant, Podiatric
No133N00000XDietary & Nutritional Service ProvidersNutritionist
No2251H1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistHand