Healthcare Provider Details

I. General information

NPI: 1831489871
Provider Name (Legal Business Name): XUANJING ZHOU M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2011
Last Update Date: 08/04/2020
Certification Date: 08/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12333 NE 130TH LN STE 320
KIRKLAND WA
98034-7467
US

IV. Provider business mailing address

12333 NE 130TH LN STE 320
KIRKLAND WA
98034-7467
US

V. Phone/Fax

Practice location:
  • Phone: 913-972-3389
  • Fax:
Mailing address:
  • Phone: 425-899-0555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number1831489871
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: