Provider Demographics
NPI:1619554938
Name:ZHAO, XIUMEI
Entity type:Individual
Prefix:
First Name:XIUMEI
Middle Name:
Last Name:ZHAO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9715 MEDICAL CENTER DR STE 202
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-6305
Mailing Address - Country:US
Mailing Address - Phone:301-337-9766
Mailing Address - Fax:240-715-9125
Practice Address - Street 1:9715 MEDICAL CENTER DR STE 202
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-6305
Practice Address - Country:US
Practice Address - Phone:301-337-9766
Practice Address - Fax:240-715-9125
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-24
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR213592163W00000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse