Healthcare Provider Details

I. General information

NPI: 1780002279
Provider Name (Legal Business Name): JINGYU ZHOU MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2014
Last Update Date: 06/09/2025
Certification Date: 06/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1840 AMHERST ST
WINCHESTER VA
22601-2808
US

IV. Provider business mailing address

PO BOX 71183
CHARLOTTE NC
28272-1183
US

V. Phone/Fax

Practice location:
  • Phone: 540-536-8740
  • Fax: 540-536-8827
Mailing address:
  • Phone: 540-686-1600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number35.139338
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number35.139338
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: