Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | L2652 | AL |
NPI | 1003021973 |
---|---|
Provider Name | Alexandra Zhang |
First Address | Beachwood, OH 44122-4328 |
Second Address | Akron, OH 44320-1116 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2007 |
Last Update Date | 04/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
111840 | (02) |