Provider Demographics
NPI:1740919042
Name:ZHANG, MICHAEL MINGSHEN (MD)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:MINGSHEN
Last Name:ZHANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:MR
Other - First Name:MING
Other - Middle Name:SHEN
Other - Last Name:ZHANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1008 SOUTH SPRING AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110
Mailing Address - Country:US
Mailing Address - Phone:314-977-2605
Mailing Address - Fax:314-977-1664
Practice Address - Street 1:1201 SOUTH GRAND BLVD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63104
Practice Address - Country:US
Practice Address - Phone:314-257-8000
Practice Address - Fax:314-977-1664
Is Sole Proprietor?:No
Enumeration Date:2022-06-10
Last Update Date:2023-04-07
Deactivation Date:2023-03-06
Deactivation Code:
Reactivation Date:2023-04-07
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program