Provider Demographics
NPI:1790073252
Name:LI, ZHENBO (PA)
Entity type:Individual
Prefix:
First Name:ZHENBO
Middle Name:
Last Name:LI
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:860 22ND AVE STE 4
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52241-1687
Mailing Address - Country:US
Mailing Address - Phone:319-519-6250
Mailing Address - Fax:319-519-6249
Practice Address - Street 1:860 22ND AVE STE 4
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52241-1687
Practice Address - Country:US
Practice Address - Phone:319-519-6250
Practice Address - Fax:319-519-6249
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-19
Last Update Date:2025-12-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IA002219363A00000X
RIPA01533363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant