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1770640856

NPI Code Detail

MEDICARE: DR. ZEGUANG REN MD

MEDICARE: DR. ZEGUANG REN MD

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	207T00000X	Neurological Surgery Physician	ME118822	FL
2	207T00000X	Neurological Surgery Physician	DR.0067702	CO
3	207T00000X	Neurological Surgery Physician	47878	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	14WW1	OTHER	FL	BLUE CROSS BLUE SHIELD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770640856
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ZEGUANG REN MD

Provider Business Mailing Address
First Line	:	3000 MEDICAL PARK DR STE 340
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33613-4681
Country	:	US
Telephone Number	:	813-467-4290
Fax Number	:	813-467-4278

Provider Business Practice Location Address
First Line	:	6475 S YALE AVE STE 308
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74136-7802
Country	:	US
Telephone Number	:	918-499-4000
Fax Number	:	918-499-4001

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

Provider Enumeration Date	:	01/02/2007
Last Update Date	:	05/04/2026

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Directions to “ DR. ZEGUANG REN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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