Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 36429 | KY |
NPI | 1033115449 |
---|---|
Provider Name | Dr. Jianhua Zhu |
First Address | Bowling Green, KY 42101-1759 |
Second Address | Bowling Green, KY 42101-1759 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2005 |
Last Update Date | 15/03/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
130024078 | RAILROAD MEDICARE (01) | KY |
50003393 | PASSPORT (01) | KY |
64034713 | (05) | KY |
H47248 | (02) | KY |