Individual
MRS. MINGLU ZHAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPA
Contact information
Practice address
800 ZORN AVE, LOUISVILLE, KY 40206-1433
(502) 287-4772
Mailing address
6513 TURNBRIDGE PL, PROSPECT, KY 40059-8872
(804) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110003385
VA
363A00000X
Physician Assistant
085003563
IL
363AM0700X
Medical Physician Assistant
PA2960
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036109719
—
IL
01
—
094621
HEALTH ALLIANCE
IL
01
—
10019630
BLUECROSS/BLUESHIELD
IL
01
—
657869
HEATHLINK
IL
01
—
P00166778
RAILROAD MEDICARE
IL
Enumeration date
01/19/2010
Last updated
11/17/2025
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