Provider Demographics
NPI:1740211689
Name:ZHOU, SHERRY XIAOYAN (MD)
Entity Type:Individual
Prefix:DR
First Name:SHERRY
Middle Name:XIAOYAN
Last Name:ZHOU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:901 HEARTLAND RD
Mailing Address - Street 2:SUITE 4810
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64506-6200
Mailing Address - Country:US
Mailing Address - Phone:816-271-1343
Mailing Address - Fax:816-271-1321
Practice Address - Street 1:901 HEARTLAND RD
Practice Address - Street 2:SUITE 4810
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64506-6200
Practice Address - Country:US
Practice Address - Phone:816-271-1343
Practice Address - Fax:816-271-1321
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2017-10-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2004003820207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO10001696300OtherCHP
MO209238203Medicaid
MO33945018OtherBCBS KC
MO7509601OtherAETNA
MOP00153083OtherRR MEDICARE
MO26D0975772OtherCLIA
MO668900OtherHEALTHLINK
MOP00153083OtherRR MEDICARE
MOI04991Medicare UPIN