Zhao, Shourong
Zhao, Shourong is an individual health care provider with primary practice located at 11 Upper Riverdale Rd Sw Pathology Dept, Riverdale GA 30274-2615. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Zhao, Shourong can be contacted via phone (678) 423-1550.Contact Information
Primary practice address
11 Upper Riverdale Rd Sw Pathology Dept
Riverdale GA 30274-2615
Phone: (678) 423-1550
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 058248 | Georgia |
Profile Details
| NPI number | 1851308225 |
|---|---|
| LBN Legal business name | Zhao, Shourong |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Jul 27th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851308225 | NPPES |
| Georgia | MEDICAID | 146707510A | |
| Georgia | Other | 058248 | |
| Georgia | Other | 60045007 | |
| Georgia | Other | 60105169 | |
| Georgia | Other | 60105170 |
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