Healthcare Provider Details

I. General information

NPI: 1770538563
Provider Name (Legal Business Name): HUA ZHOU M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/23/2006
Last Update Date: 09/18/2024
Certification Date: 09/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 RESERVOIR AVE
CRANSTON RI
02910-4423
US

IV. Provider business mailing address

750 RESERVOIR AVE
CRANSTON RI
02910-4423
US

V. Phone/Fax

Practice location:
  • Phone: 401-943-0761
  • Fax: 401-943-5737
Mailing address:
  • Phone: 401-943-0761
  • Fax: 401-943-5737

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number11602
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: