Provider Demographics
NPI:1013256742
Name:ZHANG, ZACHARY (MD)
Entity Type:Individual
Prefix:
First Name:ZACHARY
Middle Name:
Last Name:ZHANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:627 BRUNKEN AVE STE A
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-5012
Mailing Address - Country:US
Mailing Address - Phone:831-796-3740
Mailing Address - Fax:831-751-6393
Practice Address - Street 1:627 BRUNKEN AVE STE A
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-5012
Practice Address - Country:US
Practice Address - Phone:831-796-3740
Practice Address - Fax:831-751-6393
Is Sole Proprietor?:No
Enumeration Date:2013-01-31
Last Update Date:2020-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD1871662085R0204X
WAMD608373132085R0204X
CAA1657302085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology