Provider Demographics
NPI:1104854975
Name:ZHU, XIAYING SHERRI (MD)
Entity Type:Individual
Prefix:DR
First Name:XIAYING
Middle Name:SHERRI
Last Name:ZHU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1041 116TH AVE NE
Mailing Address - Street 2:STE 117
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-4604
Mailing Address - Country:US
Mailing Address - Phone:425-467-3842
Mailing Address - Fax:425-467-3849
Practice Address - Street 1:1041 116TH AVE NE
Practice Address - Street 2:STE 117
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-4604
Practice Address - Country:US
Practice Address - Phone:425-467-3842
Practice Address - Fax:425-467-3849
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2016-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD60268787207R00000X
WAMD 60268787208M00000X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX042081202Medicaid
TX042081205Medicaid
8P9614OtherBCBS
TX042081203Medicaid
TX042081204Medicaid
TXP01125218Medicare PIN
H23015Medicare UPIN
TX042081204Medicaid
TX042081202Medicaid
TX042081203Medicaid
TXTXB162724Medicare PIN
TX8G0775Medicare PIN