Healthcare Provider Details
I. General information
NPI: 1992884050
Provider Name (Legal Business Name): MINHAO ZHOU MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/02/2006
Last Update Date: 01/10/2022
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1800 HARRISON ST FLOOR 7
OAKLAND CA
94612-3466
US
IV. Provider business mailing address
1 QUALITY DR DEPARTMENT OF SURGERY
VACAVILLE CA
95688-9494
US
V. Phone/Fax
- Phone: 510-625-6262
- Fax: 510-625-6226
- Phone: 707-624-3545
- Fax: 707-624-2801
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208600000X |
| Taxonomy | Surgery Physician |
| License Number | 239593 |
| License Number State | MA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208600000X |
| Taxonomy | Surgery Physician |
| License Number | A112397 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: