Healthcare Provider Details

I. General information

NPI: 1740489053
Provider Name (Legal Business Name): YE ZHU M.D., PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2007
Last Update Date: 08/06/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2570 SOM CENTER RD
WILLOUGHBY HILLS OH
44094-9607
US

IV. Provider business mailing address

2570 SOM CENTER RD
WILLOUGHBY HILLS OH
44094-9607
US

V. Phone/Fax

Practice location:
  • Phone: 440-943-2500
  • Fax: 440-516-8810
Mailing address:
  • Phone: 440-943-2500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number094757
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: