Provider Demographics
NPI:1740244565
Name:ZHOU, SHAW W (MD)
Entity Type:Individual
Prefix:
First Name:SHAW
Middle Name:W
Last Name:ZHOU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:XIAOWEI
Other - Middle Name:
Other - Last Name:ZHOU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:12109 COUNTY ROAD 103
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:FL
Mailing Address - Zip Code:34484-2951
Mailing Address - Country:US
Mailing Address - Phone:352-205-8981
Mailing Address - Fax:352-391-6498
Practice Address - Street 1:5747 38TH AVE N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33710-1925
Practice Address - Country:US
Practice Address - Phone:727-381-8667
Practice Address - Fax:727-345-1951
Is Sole Proprietor?:No
Enumeration Date:2006-04-17
Last Update Date:2020-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME84499208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
2836383OtherAETNA PPO
7436360OtherAETNA HMO
591226600OtherUNITED HEALTHCARE
FL270626100Medicaid
51336OtherBCBS OF FLORIDA
201693OtherWELLCARE
340020649OtherMEDICARE RAILROAD
2836383OtherAETNA PPO
340020649OtherMEDICARE RAILROAD