Provider Demographics
NPI:1033180286
Name:ZHOU, XUN C (MD)
Entity type:Individual
Prefix:
First Name:XUN
Middle Name:C
Last Name:ZHOU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 HART ST
Mailing Address - Street 2:BUILDING D, LOWER LEVEL
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06052-1743
Mailing Address - Country:US
Mailing Address - Phone:860-826-1101
Mailing Address - Fax:860-826-1845
Practice Address - Street 1:40 HART ST
Practice Address - Street 2:BUILDING D, LOWER LEVEL
Practice Address - City:NEW BRITAIN
Practice Address - State:CT
Practice Address - Zip Code:06052-1743
Practice Address - Country:US
Practice Address - Phone:860-826-1101
Practice Address - Fax:860-826-1845
Is Sole Proprietor?:No
Enumeration Date:2006-01-27
Last Update Date:2012-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN48091207V00000X
CT46850207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN956695300Medicaid
MN956695300Medicaid
MN160002507Medicare ID - Type Unspecified