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Individual

DAVID XIAO-MING ZHAO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-6674
Mailing address
PO BOX 602658, CHARLOTTE, NC 28260-2658
(336) 716-2011

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
MD0000035122
TN
207RC0000X
Cardiovascular Disease Physician
2013-01545
NC
207RI0011X
Interventional Cardiology Physician
Primary
2013-01545
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1366411159
TRICARE
NC
05
1366411159
NC
Enumeration date
03/15/2006
Last updated
03/07/2023
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