Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 01057326A | IN |
N | 2084N0600X | Clinical Neurophysiologist | 01057326A | IN |
NPI | 1497846828 |
---|---|
Provider Name | James Jing Zhang |
First Address | Indianapolis, IN 46250-1902 |
Second Address | Indianapolis, IN 46260-1841 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/09/2006 |
Last Update Date | 25/08/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200331420 | (05) | IN |
I09804 | (02) | IN |