Kevin Zhao, DO | |
65 Mechanic St Ste 105, Red Bank, NJ 07701-1852 | |
(732) 455-8640 | |
Not Available |
Full Name | Kevin Zhao |
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Gender | Male |
Speciality | Neurological Surgery |
Location | 65 Mechanic St Ste 105, Red Bank, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538545975 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | 25MB11073300 (New Jersey) | Primary |
207T00000X | Neurological Surgery | 010092 (Arizona) | Secondary |
Entity Name | Banner Physician Specialists Arizona Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316228802 PECOS PAC ID: 6204002272 Enrollment ID: O20111222000509 |
Entity Name | Banner - University Physician Specialists Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437529245 PECOS PAC ID: 5991008054 Enrollment ID: O20160122001476 |
Mailing Address | Practice Location Address |
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Kevin Zhao, DO 331 Newman Springs Rd Ste 220, Red Bank, NJ 07701-5688 Ph: () - | Kevin Zhao, DO 65 Mechanic St Ste 105, Red Bank, NJ 07701-1852 Ph: (732) 455-8640 |
Dr. Howard Eisenbrock, D.O Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 65 Mechanic St, Suite 105, Red Bank, NJ 07701 Phone: 732-268-7130 | |
Grant Arzumanov, DO Neurological Surgery Medicare: Medicare Enrolled Practice Location: 65 Mechanic St Ste 105, Red Bank, NJ 07701 Phone: 732-455-8640 |