Healthcare Provider Details

I. General information

NPI: 1386262590
Provider Name (Legal Business Name): SARAH XIAO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2020
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIT 2060
APO AP
96278-2060
US

IV. Provider business mailing address

UNIT 2060 51ST MEDICAL GROUP, OSAN AFB
APO AP
96278-2060
US

V. Phone/Fax

Practice location:
  • Phone: 603-479-1151
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number35363
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: