ZHIQUAN ZHAO M.D. NPI 1073714549

NPI Information

NPI: 1073714549
Provider Name: ZHIQUAN ZHAO, M.D.
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
6301 UNIVERSITY COMMONS STE 310
OB/GYN OFFICE
SOUTH BEND, IN
ZIP 46635
Phone: (574) 232-1471
Get Directions

Zhiquan Zhao, M.D. is an obstetrics gynecology in South Bend, IN with 32 years of experience. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Zhiquan Zhao, M.D. NPI is 1073714549. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1992

The provider's business location address is:

6301 UNIVERSITY COMMONS STE 310
OB/GYN OFFICE
SOUTH BEND, IN
ZIP 46635-479
Phone: (574) 232-1471
Fax: (574) 232-0741

The NPI 1073714549 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/30/2007 and was last updated on 9/14/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207V00000X	Obstetrics & Gynecology		050379	CONNECTICUT	No
2	207VG0400X	Obstetrics & Gynecology	Gynecology	050379	CONNECTICUT	No
3	207V00000X	Obstetrics & Gynecology		01075003A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	264180017	MEDICARE PIN	INDIANA
2	201279260	MEDICAID	INDIANA
3	1073714549	MEDICAID	CONNECTICUT
4	000000934242	OTHER	INDIANA	BCBS HOSP
5	000000934270	OTHER	INDIANA	BCBS FMC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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