Healthcare Provider Details

I. General information

NPI: 1770044745
Provider Name (Legal Business Name): MEI ZHEN CAO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2019
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

830 W HIGH ST STE 207
LIMA OH
45801-3975
US

IV. Provider business mailing address

830 W HIGH ST STE 207
LIMA OH
45801-3975
US

V. Phone/Fax

Practice location:
  • Phone: 419-226-9182
  • Fax: 419-996-5090
Mailing address:
  • Phone: 419-226-9182
  • Fax: 419-996-5090

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number35.156151
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number35.156151
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: