Provider Demographics
NPI:1205147709
Name:ZHANG, YI WEI (MD)
Entity type:Individual
Prefix:DR
First Name:YI WEI
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 1:416 DURANT ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH HILL
Mailing Address - State:VA
Mailing Address - Zip Code:23970-1614
Mailing Address - Country:US
Mailing Address - Phone:434-774-2581
Mailing Address - Fax:434-447-4075
Practice Address - Street 1:416 DURANT ST
Practice Address - Street 2:
Practice Address - City:SOUTH HILL
Practice Address - State:VA
Practice Address - Zip Code:23970-1614
Practice Address - Country:US
Practice Address - Phone:434-774-2581
Practice Address - Fax:434-447-4075
Is Sole Proprietor?:No
Enumeration Date:2010-06-29
Last Update Date:2015-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301096337208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery