MEDICARE: DR. ANDREW JAY ZENG 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	207L00000X	Anesthesiology Physician	A190845	CA
2	390200000X	Student in an Organized Health Care Education/Training Program
3	207L00000X	Anesthesiology Physician	25012	NV

General Provider Information

NPI Number	:	1396373189
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREW JAY ZENG MD

Provider Business Mailing Address
First Line	:	300 E 2ND ST STE 1230
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89501-1587
Country	:	US
Telephone Number	:	775-312-6315
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 E 2ND ST STE 1230
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89501-1587
Country	:	US
Telephone Number	:	775-312-6315
Fax Number	:

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

Provider Enumeration Date	:	03/29/2020
Last Update Date	:	02/17/2024

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