Healthcare Provider Details

I. General information

NPI: 1316529233
Provider Name (Legal Business Name): YUANTEE ZHU MD, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2021
Last Update Date: 04/21/2021
Certification Date: 03/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HOSPITAL OF UNIVERSITY OF PENNSYLVANNIA 3400 SPRUCE STREET
PHILADELPHIA PA
19104
US

IV. Provider business mailing address

3111 LONG BLVD APT 309
NASHVILLE TN
37203-1985
US

V. Phone/Fax

Practice location:
  • Phone: 215-662-9664
  • Fax:
Mailing address:
  • Phone: 508-579-6192
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: