Healthcare Provider Details

I. General information

NPI: 1689369209
Provider Name (Legal Business Name): LARRY ZIJIAN ZHOU MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/10/2023
Last Update Date: 04/10/2023
Certification Date: 04/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1430 TULANE AVE
NEW ORLEANS LA
70112-2632
US

IV. Provider business mailing address

807 LONG MEADOWS RD
CHAPEL HILL NC
27516-4336
US

V. Phone/Fax

Practice location:
  • Phone: 504-988-7808
  • Fax:
Mailing address:
  • Phone: 610-823-9738
  • Fax: 610-823-9738

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: