Provider Demographics
NPI:1598828758
Name:ZHAO, JEFF XINDA (DO)
Entity type:Individual
Prefix:DR
First Name:JEFF
Middle Name:XINDA
Last Name:ZHAO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:222 S. COLLINS RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SUNNYVALE
Mailing Address - State:TX
Mailing Address - Zip Code:75182-4625
Mailing Address - Country:US
Mailing Address - Phone:214-256-3778
Mailing Address - Fax:214-256-3770
Practice Address - Street 1:222 S COLLINS RD
Practice Address - Street 2:SUITE 101
Practice Address - City:SUNNYVALE
Practice Address - State:TX
Practice Address - Zip Code:75182-4625
Practice Address - Country:US
Practice Address - Phone:214-256-3778
Practice Address - Fax:214-256-3770
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2015-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN6121207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
1346569829OtherGROUP NPI
TX2173213-01Medicaid
TX8CK527OtherBCBS
TXTXB111406OtherMEDICARE
TX2173213-01Medicaid