MEDICARE: MS. YI ZENG 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	2080P0207X	Pediatric Hematology & Oncology Physician	01066602A	IN
2	2080P0207X	Pediatric Hematology & Oncology Physician	46461	AZ

General Provider Information

NPI Number	:	1356574073
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. YI ZENG M.D.

Provider Business Mailing Address
First Line	:	PO BOX 245073
Second Line	:	1501 N. CAMPBELL AVENUE ROOM 5341 YI ZENG, MD
City	:	TUCSON
State	:	AZ
Zip	:	85724-5073
Country	:	US
Telephone Number	:	520-626-6758
Fax Number	:	520-626-6986

Provider Business Practice Location Address
First Line	:	1501 N CAMPBELL AVE RM 5341
Second Line	:	UNIVERSITY OF ARIZONA MEDICAL CENTER
City	:	TUCSON
State	:	AZ
Zip	:	85724-5073
Country	:	US
Telephone Number	:	520-626-6758
Fax Number	:	520-626-6986

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

Provider Enumeration Date	:	08/27/2009
Last Update Date	:	07/25/2013

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Directions to “ MS. YI ZENG M.D.” Practice Location

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