Provider Demographics
NPI:1982026696
Name:REN, ZHEN (MD)
Entity Type:Individual
Prefix:DR
First Name:ZHEN
Middle Name:
Last Name:REN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 60352
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63160-0352
Mailing Address - Country:US
Mailing Address - Phone:314-273-5838
Mailing Address - Fax:314-273-5839
Practice Address - Street 1:1110 HIGHLANDS PLAZA DR E
Practice Address - Street 2:DIV IM ALLERGY AND IMMUNOLOGY, STE 300
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-1392
Practice Address - Country:US
Practice Address - Phone:314-273-5838
Practice Address - Fax:314-273-5839
Is Sole Proprietor?:No
Enumeration Date:2014-01-15
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2017028834207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO200062435Medicaid