Provider Demographics
NPI:1770538563
Name:ZHOU, HUA (MD)
Entity type:Individual
Prefix:DR
First Name:HUA
Middle Name:
Last Name:ZHOU
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 1:750 RESERVOIR AVE
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02910-4423
Mailing Address - Country:US
Mailing Address - Phone:401-943-0761
Mailing Address - Fax:401-943-5737
Practice Address - Street 1:750 RESERVOIR AVE
Practice Address - Street 2:
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02910-4423
Practice Address - Country:US
Practice Address - Phone:401-943-0761
Practice Address - Fax:401-943-5737
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-23
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI11602207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI7057865Medicaid
RII40578Medicare UPIN
RI7057865Medicaid