Provider Demographics
NPI:1700979317
Name:XIAOXIA ZHANG MD PC
Entity type:Organization
Organization Name:XIAOXIA ZHANG MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:XIAOXIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-886-8718
Mailing Address - Street 1:39-07 PRINCE STREET
Mailing Address - Street 2:SUITE 6H
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354
Mailing Address - Country:US
Mailing Address - Phone:718-886-8718
Mailing Address - Fax:718-886-8780
Practice Address - Street 1:39-07 PRINCE STREET
Practice Address - Street 2:SUITE 6H
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354
Practice Address - Country:US
Practice Address - Phone:718-886-8718
Practice Address - Fax:718-886-8780
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2008-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY225875207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY230163OtherWELLCARE HMO
NY5996375OtherGHI PPO
NY225875OtherNEIGHBORHOOD
NY02355562Medicaid
NYXZ00-008636OtherMETROPLUS
NY000000082232OtherGHI HMO
NY1000034908OtherAFFINITY HEALTHPLAN
NY125447POtherHIP
NY9618251OtherCIGNA
NYP2791612OtherOXFORD
NY225875-A48OtherHEALTH FIRST
NY315830OtherAETNA
NY6419R1OtherBLUE CROSS BLUE SHIELD
NY0000227574003OtherUNITED HEALTH CARE
NY051101000028OtherFIDELIS CARE
NY167910101OtherHEALTH PLUS
NY234542OtherGREAT WEST
NY3C5044OtherHEALTHNET
NY1000034908OtherAFFINITY HEALTHPLAN
NY02355562Medicaid