MEDICARE: SIYUN 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	207LP2900X	Pain Medicine (Anesthesiology) Physician	ME175637	FL
2	207L00000X	Anesthesiology Physician	A187221	CA

General Provider Information

NPI Number	:	1225698830
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SIYUN XIE MD

Provider Business Mailing Address
First Line	:	3238 SUNRISE CT
Second Line	:
City	:	ZIONSVILLE
State	:	IN
Zip	:	46077-7841
Country	:	US
Telephone Number	:	317-289-7602
Fax Number	:

Provider Business Practice Location Address
First Line	:	1049 S STATE ROAD 7
Second Line	:
City	:	WELLINGTON
State	:	FL
Zip	:	33414-6135
Country	:	US
Telephone Number	:	561-578-4582
Fax Number	:	561-815-8028

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

Provider Enumeration Date	:	06/17/2019
Last Update Date	:	06/09/2026

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Directions to “ SIYUN XIE MD” Practice Location

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