Healthcare Provider Details

I. General information

NPI: 1376921452
Provider Name (Legal Business Name): SHERRY ZHOU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2015
Last Update Date: 04/19/2022
Certification Date: 04/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 E MEDICAL CENTER DR 3116 TAUBMAN CENTER, SPC 5368
ANN ARBOR MI
48109-5000
US

IV. Provider business mailing address

9601 BLACKWELL RD STE 350
ROCKVILLE MD
20850-3472
US

V. Phone/Fax

Practice location:
  • Phone: 734-936-5582
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License NumberD0090030
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: