Provider Demographics
NPI:1801493689
Name:DAI, ZUNYAN (PHD, DABMGG)
Entity type:Individual
Prefix:
First Name:ZUNYAN
Middle Name:
Last Name:DAI
Suffix:
Gender:M
Credentials:PHD, DABMGG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 LAKEHILL WAY
Mailing Address - Street 2:
Mailing Address - City:JOHNS CREEK
Mailing Address - State:GA
Mailing Address - Zip Code:30022-7453
Mailing Address - Country:US
Mailing Address - Phone:614-371-5449
Mailing Address - Fax:
Practice Address - Street 1:550 LAKEHILL WAY
Practice Address - Street 2:
Practice Address - City:JOHNS CREEK
Practice Address - State:GA
Practice Address - Zip Code:30022-7453
Practice Address - Country:US
Practice Address - Phone:614-371-5449
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-05
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2009029170100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes170100000XOther Service ProvidersMedical Genetics, Ph.D. Medical GeneticsGroup - Single Specialty