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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851308225 NPPES
Georgia MEDICAID 146707510A
Georgia Other 058248
Georgia Other 60045007
Georgia Other 60105169
Georgia Other 60105170

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