Provider Demographics
NPI:1629149729
Name:ZHOU, ZHONG FA (LAC)
Entity Type:Individual
Prefix:
First Name:ZHONG FA
Middle Name:
Last Name:ZHOU
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1734 EVELYN DR
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-4127
Mailing Address - Country:US
Mailing Address - Phone:301-230-8977
Mailing Address - Fax:301-230-1876
Practice Address - Street 1:1734 EVELYN DR
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-4127
Practice Address - Country:US
Practice Address - Phone:301-230-8977
Practice Address - Fax:301-230-1876
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU00524171100000X
DCAC73171100000X
VA0121000160171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD2102360OtherMAMSI
MDBK20ZFOtherCAREFIRST BCBS
DCS224OtherBCBS