MEDICARE: SHAOBO ZHU MD

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	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	MD423031	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275597411
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAOBO ZHU MD

Provider Business Mailing Address
First Line	:	LABORATORY MEDICINE M C 01 31
Second Line	:	100 N. ACADEMY AVE
City	:	DANVILLE
State	:	PA
Zip	:	17822-0001
Country	:	US
Telephone Number	:	570-214-8063
Fax Number	:	570-271-6105

Provider Business Practice Location Address
First Line	:	100 N ACADEMY AVE
Second Line	:
City	:	DANVILLE
State	:	PA
Zip	:	17822-0001
Country	:	US
Telephone Number	:	570-271-6338
Fax Number	:	570-271-6105

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

Provider Enumeration Date	:	04/14/2006
Last Update Date	:	07/15/2020

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Directions to “ SHAOBO ZHU MD” Practice Location

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