Xiao, Gary S
Xiao, Gary S is an individual health care provider with primary practice located at 216 N Broad St 5Th Fl, Philadelphia PA 19102-1121. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Transplant Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Xiao, Gary S can be contacted via phone (215) 762-3900.Contact Information
Primary practice address
216 N Broad St 5Th Fl
Philadelphia PA 19102-1121
Phone: (215) 762-3900
Fax: (215) 762-3846
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Transplant Surgery | 204F00000X | MD426406 | Pennsylvania |
Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD426406 | Pennsylvania |
Profile Details
NPI number | 1043354616 |
---|---|
LBN Legal business name | Xiao, Gary S |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 16th, 2007 |
Last updated | Mar 22nd, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1043354616 | NPPES |
Pennsylvania | MEDICAID | 101877007 |
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