Healthcare Provider Details

I. General information

NPI: 1871231159
Provider Name (Legal Business Name): DIANA XIN ZHOU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/25/2022
Last Update Date: 06/30/2025
Certification Date: 06/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1835 UNION AVE APT 321
MEMPHIS TN
38104-3951
US

IV. Provider business mailing address

3484 BROOKE EDGE LN
COLLIERVILLE TN
38017-3299
US

V. Phone/Fax

Practice location:
  • Phone: 901-218-2988
  • Fax:
Mailing address:
  • Phone: 901-218-2988
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number71590
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: