Healthcare Provider Details
I. General information
NPI: 1265181457
Provider Name (Legal Business Name): LINDA ZHOU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 03/23/2022
Last Update Date: 03/23/2022
Certification Date: 03/23/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
266 S 23RD ST APT 7A
PHILADELPHIA PA
19103-2511
US
IV. Provider business mailing address
266 S 23RD ST APT 7A
PHILADELPHIA PA
19103-2511
US
V. Phone/Fax
- Phone: 201-566-0556
- Fax:
- Phone: 201-566-0556
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: