Provider Demographics
NPI:1902910052
Name:ZHANG, REN YU (MD)
Entity Type:Individual
Prefix:DR
First Name:REN
Middle Name:YU
Last Name:ZHANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6020 S JONES BLVD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89118
Mailing Address - Country:US
Mailing Address - Phone:702-739-6467
Mailing Address - Fax:702-733-1689
Practice Address - Street 1:6020 S JONES BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89118
Practice Address - Country:US
Practice Address - Phone:702-739-6467
Practice Address - Fax:702-733-1689
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2018-08-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV13489208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery