| 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 | 41 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 |
|---|---|---|
| Franciscan Health Lafayette | Lafayette, IN | Hospital |
| Methodist Hospitals Inc | Gary, IN | Hospital |
| Lawnwood Regional Medical Center & Heart Institute | Fort pierce, FL | Hospital |
| Kendall Regional Medical Center | Miami, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pathology Consultants Inc | 2466352208 | 20 |
| Consultants In Pathology Sc | 0648251660 | 5 |
| Integrated Regional Laboratories Pathology Services, Llc | 9133244346 | 124 |
| 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 |