Provider Demographics
NPI:1275567067
Name:ZHANG, XIAOQI SHERRIE (MD)
Entity Type:Individual
Prefix:
First Name:XIAOQI
Middle Name:SHERRIE
Last Name:ZHANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:XIAOQI
Other - Middle Name:SHERRIE
Other - Last Name:ZHANG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:SOUTH COVE COMMUNITY HEALTH CENTER
Mailing Address - Street 2:885 WASHINGTON STREET
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02111
Mailing Address - Country:US
Mailing Address - Phone:617-482-7555
Mailing Address - Fax:
Practice Address - Street 1:SOUTH COVE COMMUNITY HEALTH CENTER
Practice Address - Street 2:885 WASHINGTON STREET
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111
Practice Address - Country:US
Practice Address - Phone:617-482-7555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2016-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA159726208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics