MEDICARE: DR. XIAOXI HU MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	217802	NY

General Provider Information

NPI Number	:	1063433589
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. XIAOXI HU MD

Provider Business Mailing Address
First Line	:	821 45TH ST STE 101
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-1610
Country	:	US
Telephone Number	:	718-972-1233
Fax Number	:	718-972-1277

Provider Business Practice Location Address
First Line	:	4506 8TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-1516
Country	:	US
Telephone Number	:	718-972-1233
Fax Number	:	718-972-1277

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2006
Last Update Date	:	07/20/2020

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