Provider Demographics
NPI:1396066932
Name:ZHANG, JIANQING (MD)
Entity type:Individual
Prefix:DR
First Name:JIANQING
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 1:4160 MAIN ST
Mailing Address - Street 2:SUITE 312
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-3833
Mailing Address - Country:US
Mailing Address - Phone:718-869-2567
Mailing Address - Fax:
Practice Address - Street 1:4160 MAIN ST
Practice Address - Street 2:SUITE 312
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-3833
Practice Address - Country:US
Practice Address - Phone:718-865-8648
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-17
Last Update Date:2014-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY273276208D00000X, 2085R0202X, 2085U0001X, 2085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Ultrasound
No2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology