Healthcare Provider Details

I. General information

NPI: 1962761908
Provider Name (Legal Business Name): YEFEI ZHU MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2012
Last Update Date: 02/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 S DOUGLAS BLVD SUITE 305
OKLAHOMA CITY OK
73150-1001
US

IV. Provider business mailing address

3400 S DOUGLAS BLVD SUITE 305
OKLAHOMA CITY OK
73150-1001
US

V. Phone/Fax

Practice location:
  • Phone: 405-622-3063
  • Fax: 405-732-0022
Mailing address:
  • Phone: 405-622-3063
  • Fax: 405-732-0022

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number31010
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: