Healthcare Provider Details

I. General information

NPI: 1285605576
Provider Name (Legal Business Name): XIAO MING ZHOU M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/27/2006
Last Update Date: 10/13/2021
Certification Date: 10/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

932 HUNGERFORD DR SUITE 11A
ROCKVILLE MD
20850-1750
US

IV. Provider business mailing address

932 HUNGERFORD DR SUITE 11A
ROCKVILLE MD
20850-1750
US

V. Phone/Fax

Practice location:
  • Phone: 301-838-8551
  • Fax: 833-559-1054
Mailing address:
  • Phone: 301-838-8551
  • Fax: 301-838-8556

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberD0053642
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: