Provider Demographics
NPI:1679991442
Name:ZHANG, XI (MD)
Entity type:Individual
Prefix:DR
First Name:XI
Middle Name:
Last Name:ZHANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19020 33RD AVE W STE 210
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036-4748
Mailing Address - Country:US
Mailing Address - Phone:425-563-1500
Mailing Address - Fax:425-563-1374
Practice Address - Street 1:19020 33RD AVE W STE 210
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036-4748
Practice Address - Country:US
Practice Address - Phone:425-563-1500
Practice Address - Fax:425-563-1501
Is Sole Proprietor?:No
Enumeration Date:2014-03-31
Last Update Date:2020-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD868462085R0202X
WAMD609630022085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0423284OtherL&I-RADIA-REST OF WA
WA0423285OtherL&I-RADIA-KING
WA0423286OtherL&I-SWEDISH RADIA EDMONDS
MDD86846OtherLICENSE
WA0423288OtherL&I-EVERGREEN RADIA
WA2155950Medicaid
WA0423291OtherL&I-SEATTLE RADIOLOGY
WA0423290OtherL&I-SOUTH SOUND RADIOLOGY