Kevin Zhu, MD ( MAY 2024)

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Burlington, VT

NPI 1497515928 · NPPES record last updated Apr 1, 2024

Key facts

NPI
1497515928
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
111 Colchester Ave
Burlington, VT 05401-1473
Phone
(802) 847-2345
NPI assigned
Mar 21, 2024
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240528001204 VT Order and Referring Only - Internal Medicine
Practitioner - Internal Medicine
1254773971

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

111 Colchester Ave
Burlington, VT 05401-1473

Mailing address

111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-2345

Other providers in Burlington, VT

All providers in Burlington, VT · Student in an Organized Health Care Education/Training Program in Vermont

Sources for this page

Verify at the official NPI Registry.