Healthcare Provider Details

I. General information

NPI: 1528033834
Provider Name (Legal Business Name): YAN ISABEL ZHU M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2006
Last Update Date: 04/03/2024
Certification Date: 04/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1371 HECLA DR STE C2
LOUISVILLE CO
80027-2318
US

IV. Provider business mailing address

1371 HECLA DR STE C2
LOUISVILLE CO
80027-2318
US

V. Phone/Fax

Practice location:
  • Phone: 303-427-0432
  • Fax: 855-504-1008
Mailing address:
  • Phone: 303-521-2645
  • Fax: 303-255-6008

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberCO43120
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: