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NPI Code Detail

MEDICARE: XIN PENG MD

MEDICARE:   XIN  PENG  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
12086S0129XVascular Surgery Physician35.143046OH

General Provider Information

NPI Number : 1336550649
Entity Type Code : Individual
Provider Name (Legal Business Name) : XIN PENG MD
Provider Business Mailing Address
First Line : 700 ACKERMAN RD STE 2120
Second Line :
City : COLUMBUS
State : OH
Zip : 43202-1559
Country : US
Telephone Number : 614-293-8536
Fax Number : 614-293-8902
Provider Business Practice Location Address
First Line : 6100 N HAMILTON RD
Second Line :
City : WESTERVILLE
State : OH
Zip : 43081-2062
Country : US
Telephone Number : 614-293-8536
Fax Number : 614-293-8902
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2014
Last Update Date : 05/19/2026

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Directions to “ XIN PENG MD” Practice Location

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