MEDICARE: DR. YUXUAN MAO M.D., M.S.

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	2017-01738	NC
2	207RC0001X	Clinical Cardiac Electrophysiology Physician	0116034628	VA
3	207RC0001X	Clinical Cardiac Electrophysiology Physician	95287	SC

General Provider Information

NPI Number	:	1346660768
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. YUXUAN MAO M.D., M.S.

Provider Business Mailing Address
First Line	:	PO BOX 601743
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28260-1743
Country	:	US
Telephone Number	:	919-244-7196
Fax Number	:

Provider Business Practice Location Address
First Line	:	3793 MCDOWELL LN STE 200
Second Line	:
City	:	LITTLE RIVER
State	:	SC
Zip	:	29566-7892
Country	:	US
Telephone Number	:	919-244-7196
Fax Number	:

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

Provider Enumeration Date	:	04/24/2014
Last Update Date	:	08/27/2025

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