Healthcare Provider Details
I. General information
NPI: 1881261840
Provider Name (Legal Business Name): YOU ZHOU MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/08/2021
Last Update Date: 06/02/2025
Certification Date: 06/02/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
840 WALNUT ST
PHILADELPHIA PA
19107-5599
US
IV. Provider business mailing address
840 WALNUT ST
PHILADELPHIA PA
19107-5109
US
V. Phone/Fax
- Phone: 215-928-3000
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | BP10077053 |
| License Number State | TX |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207W00000X |
| Taxonomy | Ophthalmology Physician |
| License Number | MD489119 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: