Provider Demographics
NPI:1821002783
Name:ZIGRANG, WILLIAM D (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:D
Last Name:ZIGRANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1750 EL CAMINO REAL
Mailing Address - Street 2:SUITE 202
Mailing Address - City:BURLINGAME
Mailing Address - State:CA
Mailing Address - Zip Code:94010-3228
Mailing Address - Country:US
Mailing Address - Phone:650-692-9751
Mailing Address - Fax:650-697-0729
Practice Address - Street 1:1750 EL CAMINO REAL
Practice Address - Street 2:SUITE 202
Practice Address - City:BURLINGAME
Practice Address - State:CA
Practice Address - Zip Code:94010-3228
Practice Address - Country:US
Practice Address - Phone:650-692-9751
Practice Address - Fax:650-697-0729
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2017-10-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG26360207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG026360OtherLICENSE NUMBER
CAA42988Medicare UPIN