Basic Information
Provider Information
NPI: 1801234612
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZHANG
FirstName: BINGCHAN
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 450 LAKEVILLE RD
Address2:  
City: NEW HYDE PARK
State: NY
PostalCode: 110421118
CountryCode: US
TelephoneNumber: 5163213000
FaxNumber:  
Practice Location
Address1: 1000 JOHNSON FERRY RD
Address2:  
City: ATLANTA
State: GA
PostalCode: 30342
CountryCode: US
TelephoneNumber: 4048518000
FaxNumber: 4043033759
Other Information
ProviderEnumerationDate: 06/13/2013
LastUpdateDate: 06/19/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X60276475NYN Student, Health CareStudent in an Organized Health Care Education/Training Program 
2085R0001X080700GAY Allopathic & Osteopathic PhysiciansRadiologyRadiation Oncology

No ID Information.


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