Song Qing Zhao, MD | |
8701 Broadway, Merrillville, IN 46410-7035 | |
(219) 738-5500 | |
(219) 738-6628 |
Full Name | Song Qing Zhao |
---|---|
Gender | Male |
Speciality | Pathology |
Experience | 40 Years |
Location | 8701 Broadway, Merrillville, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912944752 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZD0900X | Pathology - Dermatopathology | 45394 (Wisconsin) | Secondary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 01077724A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Methodist Hospitals Inc | Gary, IN | Hospital |
Franciscan St Anthony Health - Michigan City | Michigan city, IN | Hospital |
Franciscan Health Lafayette | Lafayette, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pathology Consultants Inc | 2466352208 | 19 |
Consultants In Pathology Sc | 0648251660 | 4 |
Entity Name | Pathology Consultants Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972596864 PECOS PAC ID: 2466352208 Enrollment ID: O20040109000447 |
Mailing Address | Practice Location Address |
---|---|
Song Qing Zhao, MD 5700 Southwyck Blvd, Toledo, OH 43614-1509 Ph: (800) 288-8325 | Song Qing Zhao, MD 8701 Broadway, Merrillville, IN 46410-7035 Ph: (219) 738-5500 |
Tushar C Padhya, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 8701 Broadway, Merrillville, IN 46410 Phone: 219-738-5572 | |
Dr. Xi Wang, MD, PHD Pathology Medicare: Accepting Medicare Assignments Practice Location: 8701 Broadway, Merrillville, IN 46410 Phone: 219-738-5500 Fax: 219-738-6628 |