Provider Demographics
NPI:1619997582
Name:ZHOU, DADONG (MD)
Entity Type:Individual
Prefix:
First Name:DADONG
Middle Name:
Last Name:ZHOU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:DENNIS
Other - Middle Name:
Other - Last Name:ZHOU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:7320 216TH ST SW
Mailing Address - Street 2:SUITE 310
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98026-8006
Mailing Address - Country:US
Mailing Address - Phone:425-673-3800
Mailing Address - Fax:425-673-3803
Practice Address - Street 1:7320 216TH ST SW
Practice Address - Street 2:SUITE 310
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98026-8006
Practice Address - Country:US
Practice Address - Phone:425-673-3800
Practice Address - Fax:425-673-3803
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2014-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00040927174400000X, 2084N0400X
174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAP00022724OtherRR MEDICARE
WA8320269Medicaid
WAH72141Medicare UPIN
WAP00022724OtherRR MEDICARE