Healthcare Provider Details

I. General information

NPI: 1558673525
Provider Name (Legal Business Name): MICHAEL SHU-JIE ZHOU M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2010
Last Update Date: 10/03/2024
Certification Date: 10/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3315 WATT AVE
SACRAMENTO CA
95821-3600
US

IV. Provider business mailing address

4150 V ST STE 1200
SACRAMENTO CA
95817-1460
US

V. Phone/Fax

Practice location:
  • Phone: 916-481-6800
  • Fax:
Mailing address:
  • Phone: 916-734-5028
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberR72252
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberA125640
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: