Provider Demographics
NPI:1205936762
Name:ZHANG, FRANK LIXUN (MD)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:LIXUN
Last Name:ZHANG
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 NESCONSET HIGHWAY, BLDG 18B
Mailing Address - Street 2:
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11790
Mailing Address - Country:US
Mailing Address - Phone:631-246-6018
Mailing Address - Fax:631-246-6017
Practice Address - Street 1:2500 NESCONSET HIGHWAY, BLDG 18B
Practice Address - Street 2:
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11790
Practice Address - Country:US
Practice Address - Phone:631-246-6018
Practice Address - Fax:631-246-6017
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY204359173000000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No173000000XOther Service ProvidersLegal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G44172Medicare UPIN
WER611Medicare ID - Type Unspecified
20N391Medicare ID - Type Unspecified