MEDICARE: HENRY LE-QIAN ZHU M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	A82600	CA

General Provider Information

NPI Number	:	1144249376
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HENRY LE-QIAN ZHU M.D.

Provider Business Mailing Address
First Line	:	3941 J ST STE 270
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95819-3633
Country	:	US
Telephone Number	:	916-733-6850
Fax Number	:	916-733-6824

Provider Business Practice Location Address
First Line	:	3941 J ST STE 270
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95819-3633
Country	:	US
Telephone Number	:	916-733-6850
Fax Number	:	916-733-6824

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2006
Last Update Date	:	12/15/2021

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