Healthcare Provider Details

I. General information

NPI: 1134126170
Provider Name (Legal Business Name): YU ZHU MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2005
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

915 6TH AVE STE 200
TACOMA WA
98405-4682
US

IV. Provider business mailing address

915 6TH AVE STE 200
TACOMA WA
98405-4682
US

V. Phone/Fax

Practice location:
  • Phone: 253-403-7299
  • Fax: 253-403-7298
Mailing address:
  • Phone: 253-403-7299
  • Fax: 253-403-7298

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberM000040935
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: