Healthcare Provider Details

I. General information

NPI: 1942442652
Provider Name (Legal Business Name): ZHIJIE ZHOU MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2009
Last Update Date: 12/12/2024
Certification Date: 12/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16045 1ST AVE S FL 2
BURIEN WA
98148-1401
US

IV. Provider business mailing address

3301 W FOREST HOME AVE
MILWAUKEE WI
53215-2843
US

V. Phone/Fax

Practice location:
  • Phone: 206-965-4124
  • Fax: 206-965-4278
Mailing address:
  • Phone: 920-303-8700
  • Fax: 920-456-5731

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberMD61543647
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: