Healthcare Provider Details

I. General information

NPI: 1104316926
Provider Name (Legal Business Name): SENMIAO ZHAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2018
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

241 CORPORATE BLVD STE 210
NORFOLK VA
23502-4965
US

IV. Provider business mailing address

PO BOX 201564
DALLAS TX
75320-1564
US

V. Phone/Fax

Practice location:
  • Phone: 757-622-2200
  • Fax:
Mailing address:
  • Phone: 757-483-0400
  • Fax: 757-686-0947

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number0101279693
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: