Healthcare Provider Details

I. General information

NPI: 1255457271
Provider Name (Legal Business Name): YIHUA ZHOU
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2007
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3635 VISTA AT GRAND RADIOLOGY DEPT SLUH
SAINT LOUIS MO
63110-0250
US

IV. Provider business mailing address

3635 VISTA AT GRAND RADIOLOGY DEPT SLUH
SAINT LOUIS MO
63110-0250
US

V. Phone/Fax

Practice location:
  • Phone: 314-268-5782
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number2010007610
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: