Provider Demographics
NPI:1275548992
Name:ZHAO, JOY Y (MD)
Entity type:Individual
Prefix:
First Name:JOY
Middle Name:Y
Last Name:ZHAO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16122 8TH AVE SW
Mailing Address - Street 2:SUITE D4
Mailing Address - City:BURIEN
Mailing Address - State:WA
Mailing Address - Zip Code:98166-2967
Mailing Address - Country:US
Mailing Address - Phone:206-243-2187
Mailing Address - Fax:206-246-1583
Practice Address - Street 1:16122 8TH AVE SW
Practice Address - Street 2:SUITE D4
Practice Address - City:BURIEN
Practice Address - State:WA
Practice Address - Zip Code:98166-2967
Practice Address - Country:US
Practice Address - Phone:206-243-2187
Practice Address - Fax:206-246-1583
Is Sole Proprietor?:No
Enumeration Date:2006-07-30
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD000438962084N0600X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8410391Medicaid
WA8410391Medicaid
WAG8808963Medicare PIN