Provider Demographics
NPI:1659746337
Name:LI, ZHAOXIA (PA-C)
Entity Type:Individual
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First Name:ZHAOXIA
Middle Name:
Last Name:LI
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:700 GEIPE RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-4147
Mailing Address - Country:US
Mailing Address - Phone:410-744-0661
Mailing Address - Fax:410-744-8036
Practice Address - Street 1:700 GEIPE RD
Practice Address - Street 2:SUITE 200
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-4147
Practice Address - Country:US
Practice Address - Phone:410-744-0661
Practice Address - Fax:410-744-8036
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-07
Last Update Date:2015-12-07
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Provider Licenses
StateLicense IDTaxonomies
MDC05986363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical