Basic Information
Provider Information
NPI: 1003259169
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZHOU
FirstName: HANNAH
MiddleName: YIECHIN
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 8055 MAYFIELD RD STE 105
Address2:  
City: CHESTERLAND
State: OH
PostalCode: 440262447
CountryCode: US
TelephoneNumber: 4402148026
FaxNumber:  
Practice Location
Address1: 6847 N CHESTNUT ST STE 330
Address2:  
City: RAVENNA
State: OH
PostalCode: 442663929
CountryCode: US
TelephoneNumber: 3302357430
FaxNumber: 3302357432
Other Information
ProviderEnumerationDate: 04/09/2013
LastUpdateDate: 12/04/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/04/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208600000X35.134334OHY Allopathic & Osteopathic PhysiciansSurgery 

No ID Information.


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