Provider Demographics
NPI:1720279904
Name:HU, SHERRY XIAOYI (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:SHERRY
Middle Name:XIAOYI
Last Name:HU
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:XIAOYI
Other - Middle Name:
Other - Last Name:HU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, PHD
Mailing Address - Street 1:PO BOX 25608
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84125-0608
Mailing Address - Country:US
Mailing Address - Phone:206-320-4476
Mailing Address - Fax:206-568-7043
Practice Address - Street 1:751 NE BLAKELY DR STE 1090
Practice Address - Street 2:
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98029-6201
Practice Address - Country:US
Practice Address - Phone:425-313-4200
Practice Address - Fax:425-313-4201
Is Sole Proprietor?:No
Enumeration Date:2007-08-05
Last Update Date:2021-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD60650555207RH0003X, 207RH0003X
ORMD161940207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1720279904Medicaid
R172556Medicare PIN
WAG8954219Medicare PIN