Healthcare Provider Details

I. General information

NPI: 1376287987
Provider Name (Legal Business Name): CRISTIAN ZHANG XU M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2022
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date: 01/18/2023
Reactivation Date: 02/23/2023

III. Provider practice location address

209 E MAIN ST STE 3
MIDDLETOWN DE
19709-1449
US

IV. Provider business mailing address

640 S STATE ST # MC3055
DOVER DE
19901-3530
US

V. Phone/Fax

Practice location:
  • Phone: 302-464-3967
  • Fax: 302-464-3968
Mailing address:
  • Phone: 302-464-3967
  • Fax: 302-464-3968

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License NumberC1-0029358
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: