Healthcare Provider Details

I. General information

NPI: 1629563622
Provider Name (Legal Business Name): LIN ZHAO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2018
Last Update Date: 09/26/2023
Certification Date: 09/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20745 N SCOTTSDALE RD STE 100
SCOTTSDALE AZ
85255-6595
US

IV. Provider business mailing address

7400 E THOMPSON PEAK PKWY
SCOTTSDALE AZ
85255-4109
US

V. Phone/Fax

Practice location:
  • Phone: 480-882-7500
  • Fax:
Mailing address:
  • Phone: 480-324-7231
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number72333-20
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code2083C0008X
TaxonomyClinical Informatics Physician
License Number66263
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number72333-20
License Number StateWI
# 4
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number66263
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: