Provider Demographics
NPI:1942749692
Name:ZHAO, FUSHENG (MD MPH DIPLOM LAC)
Entity Type:Individual
Prefix:
First Name:FUSHENG
Middle Name:
Last Name:ZHAO
Suffix:
Gender:F
Credentials:MD MPH DIPLOM LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7331 JADE ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70124-3536
Mailing Address - Country:US
Mailing Address - Phone:504-503-2236
Mailing Address - Fax:
Practice Address - Street 1:2403 METAIRIE RD STE A
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70001-5534
Practice Address - Country:US
Practice Address - Phone:504-503-2236
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-14
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA300071171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist