Provider Demographics
NPI:1255347761
Name:ZHU, MING (MD)
Entity type:Individual
Prefix:
First Name:MING
Middle Name:
Last Name:ZHU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:136-20 38TH AVENUE
Mailing Address - Street 2:SUITE 5J
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-4232
Mailing Address - Country:US
Mailing Address - Phone:718-661-2108
Mailing Address - Fax:718-661-2109
Practice Address - Street 1:136-20 38TH AVENUE
Practice Address - Street 2:SUITE 5J
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-4232
Practice Address - Country:US
Practice Address - Phone:718-661-2108
Practice Address - Fax:718-661-2109
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2010-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY200038207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01584505Medicaid
NYG17348Medicare UPIN
NY01584505Medicaid