MEDICARE: CASEY XINYU ZHAO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	0001318318	VA
2	367500000X	Certified Registered Nurse Anesthetist	0024196101	VA
3	163W00000X	Registered Nurse	767283	NY

General Provider Information

NPI Number	:	1508567751
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CASEY XINYU ZHAO

Provider Business Mailing Address
First Line	:	9601 BEEKMAN LN APT 2216
Second Line	:
City	:	HENRICO
State	:	VA
Zip	:	23228-2257
Country	:	US
Telephone Number	:	718-808-5675
Fax Number	:

Provider Business Practice Location Address
First Line	:	900 E LEIGH ST
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23298
Country	:	US
Telephone Number	:	804-828-7247
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/14/2023
Last Update Date	:	02/13/2026

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