Healthcare Provider Details

I. General information

NPI: 1043524481
Provider Name (Legal Business Name): LUKE XIAOLI ZHAN M.D., PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2010
Last Update Date: 11/26/2025
Certification Date: 11/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

62 W 7TH AVE STE 420
SPOKANE WA
99204-2321
US

IV. Provider business mailing address

PO BOX 31001-4114
PASADENA CA
91110-0001
US

V. Phone/Fax

Practice location:
  • Phone: 509-626-9440
  • Fax: 509-626-9475
Mailing address:
  • Phone: 866-747-2455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberR72267
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberMD60535104
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: