Healthcare Provider Details

I. General information

NPI: 1740347152
Provider Name (Legal Business Name): SHUNLI ZHANG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/03/2007
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

640 S STATE ST
DOVER DE
19901-3530
US

IV. Provider business mailing address

640 S STATE ST
DOVER DE
19901-3530
US

V. Phone/Fax

Practice location:
  • Phone: 302-744-7046
  • Fax: 302-744-7682
Mailing address:
  • Phone: 302-744-7046
  • Fax: 302-744-7682

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberC1-0007896
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: