Provider Demographics
NPI:1740694926
Name:ZHANG, JINMENG (MD)
Entity type:Individual
Prefix:DR
First Name:JINMENG
Middle Name:
Last Name:ZHANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13943 N 91ST AVE STE C101
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85381-3688
Mailing Address - Country:US
Mailing Address - Phone:623-972-3992
Mailing Address - Fax:623-974-4209
Practice Address - Street 1:13943 N 91ST AVE STE C101
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85381-3688
Practice Address - Country:US
Practice Address - Phone:623-972-3992
Practice Address - Fax:623-974-4209
Is Sole Proprietor?:No
Enumeration Date:2014-06-16
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2015014102207N00000X
HIMD-19678207N00000X
AZ69971207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology