MEDICARE: MING ZHU M.D.P.C

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	207R00000X	Internal Medicine Physician	200038	NY

General Provider Information

NPI Number	:	1891999371
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MING ZHU M.D.P.C

Provider Business Mailing Address
First Line	:	136-20 38TH AVENUE
Second Line	:	SUITE 5J
City	:	FLUSHING
State	:	NY
Zip	:	11354-4232
Country	:	US
Telephone Number	:	718-661-2108
Fax Number	:	718-661-2109

Provider Business Practice Location Address
First Line	:	136-20 38TH AVENUE
Second Line	:	SUITE 5J
City	:	FLUSHING
State	:	NY
Zip	:	11354-4232
Country	:	US
Telephone Number	:	718-661-2108
Fax Number	:	718-661-2109

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MING ZHU
Credential	:	M.D.
Telephone Number	:	718-661-2108

Provider Enumeration Date	:	06/11/2007
Last Update Date	:	11/11/2010

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