# ZHIQUAN ZHAO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1073714549
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 01075003A | IN | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | 050379 | CT | — |
| 207VG0400X | Gynecology Physician | 050379 | CT | — |

## Other

- **Enumeration date:** 05/30/2007
- **Last updated:** 10/02/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000934242 | BCBS HOSP | IN |
| 01 | — | 000000934270 | BCBS FMC | IN |
| 05 | — | 1073714549 | — | CT |
| 05 | — | 201279260 | — | IN |