Healthcare Provider Details

I. General information

NPI: 1467433029
Provider Name (Legal Business Name): CHIHONG HEIDI ZHOU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/10/2005
Last Update Date: 04/05/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7750 COLLEGE TOWN DR 102
SACRAMENTO CA
95826-2356
US

IV. Provider business mailing address

7750 COLLEGE TOWN DR 102
SACRAMENTO CA
95826-2356
US

V. Phone/Fax

Practice location:
  • Phone: 916-444-0889
  • Fax: 916-444-6016
Mailing address:
  • Phone: 916-444-0889
  • Fax: 916-444-6016

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZD0900X
TaxonomyDermatopathology (Pathology) Physician
License NumberA77773
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207ZP0101X
TaxonomyAnatomic Pathology Physician
License NumberA77773
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: