Provider Demographics
NPI:1063486470
Name:ZHOU, RAYMOND R (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:R
Last Name:ZHOU
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 BOSTON TPKE
Mailing Address - Street 2:SUITE 105
Mailing Address - City:SHREWSBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01545-3446
Mailing Address - Country:US
Mailing Address - Phone:508-845-8200
Mailing Address - Fax:508-845-8300
Practice Address - Street 1:415 BOSTON TPKE
Practice Address - Street 2:SUITE 105
Practice Address - City:SHREWSBURY
Practice Address - State:MA
Practice Address - Zip Code:01545-3446
Practice Address - Country:US
Practice Address - Phone:508-845-8200
Practice Address - Fax:508-845-8300
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA158604207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G97459Medicare UPIN
A31162Medicare ID - Type Unspecified