MEDICARE: DR. CONSTANCE XUANYI ZOU 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	2084P0800X	Psychiatry Physician	D0093743	MD
2	2084P0800X	Psychiatry Physician	MD210002788	DC

General Provider Information

NPI Number	:	1518525450
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CONSTANCE XUANYI ZOU MD

Provider Business Mailing Address
First Line	:	5662 WATERLOO RD
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21045-2627
Country	:	US
Telephone Number	:	301-288-3331
Fax Number	:	561-421-8158

Provider Business Practice Location Address
First Line	:	5662 WATERLOO RD
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21045-2627
Country	:	US
Telephone Number	:	202-792-8793
Fax Number	:	561-421-8158

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

Provider Enumeration Date	:	06/05/2019
Last Update Date	:	12/09/2025

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