Provider Demographics
NPI:1609052752
Name:XIAOLAN ZHU PLLC
Entity Type:Organization
Organization Name:XIAOLAN ZHU PLLC
Other - Org Name:XIAOLAN ZHU MD PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:XIAOLAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-893-6680
Mailing Address - Street 1:3613 CHAIN BRIDGE RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-3238
Mailing Address - Country:US
Mailing Address - Phone:703-893-6680
Mailing Address - Fax:703-896-6676
Practice Address - Street 1:3613 CHAIN BRIDGE RD
Practice Address - Street 2:SUITE A
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-3238
Practice Address - Country:US
Practice Address - Phone:703-893-6680
Practice Address - Fax:703-896-6676
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-18
Last Update Date:2013-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101232556207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAG01205Medicare PIN