Healthcare Provider Details

I. General information

NPI: 1043197502
Provider Name (Legal Business Name): HAI ZHU
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2025
Last Update Date: 08/18/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2950 E FLAMINGO RD STE H
LAS VEGAS NV
89121-5208
US

IV. Provider business mailing address

6125 ELTON AVE
LAS VEGAS NV
89107-2537
US

V. Phone/Fax

Practice location:
  • Phone: 725-251-3854
  • Fax:
Mailing address:
  • Phone: 702-576-5171
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number884380
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: