Provider Demographics
NPI:1669443388
Name:ZHU, LIJIA (MD)
Entity Type:Individual
Prefix:DR
First Name:LIJIA
Middle Name:
Last Name:ZHU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:50475 BELMONT CT
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48187-4441
Mailing Address - Country:US
Mailing Address - Phone:313-717-1501
Mailing Address - Fax:
Practice Address - Street 1:2050 N HAGGERTY RD STE 140
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48187-3796
Practice Address - Country:US
Practice Address - Phone:734-996-7314
Practice Address - Fax:734-996-7313
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2022-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301086616207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1285232322Medicaid