Healthcare Provider Details

I. General information

NPI: 1285515957
Provider Name (Legal Business Name): MS. MIN ZHU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2025
Last Update Date: 09/10/2025
Certification Date: 09/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3425 EMORY CHURCH RD
OLNEY MD
20832-2613
US

IV. Provider business mailing address

11608 GOWRIE CT
POTOMAC MD
20854-3623
US

V. Phone/Fax

Practice location:
  • Phone: 800-491-5369
  • Fax: 301-774-3678
Mailing address:
  • Phone: 800-491-5369
  • Fax: 301-774-3678

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberLGP15091
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: