Healthcare Provider Details

I. General information

NPI: 1366364010
Provider Name (Legal Business Name): FANG ZHU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HOSPITAL DR # M545H
COLUMBIA MO
65212-1000
US

IV. Provider business mailing address

1 HOSPITAL DR # M545H
COLUMBIA MO
65212-1000
US

V. Phone/Fax

Practice location:
  • Phone: 573-882-3014
  • Fax:
Mailing address:
  • Phone: 573-882-3014
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number2026020931
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: