Provider Demographics
NPI:1356379986
Name:ZHOU, JANE H (MD)
Entity type:Individual
Prefix:DR
First Name:JANE
Middle Name:H
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 1:800 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02111-1552
Mailing Address - Country:US
Mailing Address - Phone:502-821-1028
Mailing Address - Fax:
Practice Address - Street 1:800 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111-1552
Practice Address - Country:US
Practice Address - Phone:502-821-1028
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2016-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY39792207ZP0102X
CAC52698207ZP0102X
NY285032207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200532720AOtherMEDICAID INDIANA
KS2633314000OtherPASSPORT ADVANTAGE
KY000000377198OtherANTHEM BL CROSS BL SHIELD
P00257314OtherRAILROAD MEDICARE
KY104509OtherHEALTH PARTNERS
OH31155000400OtherWORKERS COMP OHIO
KY50007759OtherMEDICAID PASSPORT
KY1100181OtherUNITED HEALTHCARE
FL124519600OtherWORKERS COMP FLORIDA
KY64111438Medicaid
OH31155000400OtherWORKERS COMP OHIO
KYI42121Medicare UPIN