MEDICARE: TERESA XIAO 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	125.081836	IL

General Provider Information

NPI Number	:	1124775721
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERESA XIAO MD

Provider Business Mailing Address
First Line	:	1161 21ST AVE S
Second Line	:	T-3113 MCN
City	:	NASHVILLE
State	:	TN
Zip	:	37232-0011
Country	:	US
Telephone Number	:	615-421-4626
Fax Number	:

Provider Business Practice Location Address
First Line	:	1161 21ST AVE S
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37232-0011
Country	:	US
Telephone Number	:	615-421-4626
Fax Number	:

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

Provider Enumeration Date	:	03/04/2022
Last Update Date	:	06/08/2026

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