MEDICARE: LEI XIE 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	264606	MA
2	2084N0400X	Neurology Physician	141040	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184006132
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEI XIE MD

Provider Business Mailing Address
First Line	:	2155 WASHINGTON CT APT 605
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33139-1983
Country	:	US
Telephone Number	:	508-667-4524
Fax Number	:

Provider Business Practice Location Address
First Line	:	174 NE 96TH ST
Second Line	:
City	:	MIAMI SHORES
State	:	FL
Zip	:	33138-2726
Country	:	US
Telephone Number	:	786-565-8735
Fax Number	:

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

Provider Enumeration Date	:	06/26/2015
Last Update Date	:	09/21/2023

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Directions to “ LEI XIE MD” Practice Location

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