Healthcare Provider Details

I. General information

NPI: 1639829161
Provider Name (Legal Business Name): YANNAN ZHOU DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2022
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4729 E CAMP LOWELL DR
TUCSON AZ
85712-1256
US

IV. Provider business mailing address

4729 E CAMP LOWELL DR
TUCSON AZ
85712-1256
US

V. Phone/Fax

Practice location:
  • Phone: 520-467-0467
  • Fax:
Mailing address:
  • Phone: 520-467-0467
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number012523
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: