MEDICARE: XIAOSONG ZHAO MD, PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	35.094483	OH
2	2084N0400X	Neurology Physician	ME175837	FL

General Provider Information

NPI Number	:	1386865111
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	XIAOSONG ZHAO MD, PHD

Provider Business Mailing Address
First Line	:	PO BOX 7527
Second Line	:
City	:	DUBLIN
State	:	OH
Zip	:	43017-0727
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6905 HOSPITAL DR STE 200A
Second Line	:
City	:	DUBLIN
State	:	OH
Zip	:	43016-1690
Country	:	US
Telephone Number	:	614-533-5500
Fax Number	:	614-533-0103

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/01/2007
Last Update Date	:	03/10/2026

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