Healthcare Provider Details

I. General information

NPI: 1710447032
Provider Name (Legal Business Name): SHAWN XIAO YU MD, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: XIAO YU MD, PHD

II. Dates (important events)

Enumeration Date: 03/22/2019
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 HAWKINS DR
IOWA CITY IA
52242-1009
US

IV. Provider business mailing address

200 HAWKINS DR
IOWA CITY IA
52242-1009
US

V. Phone/Fax

Practice location:
  • Phone: 319-356-4422
  • Fax: 319-384-8492
Mailing address:
  • Phone: 319-356-4422
  • Fax: 319-384-8492

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD-56865
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number2023-03008
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License NumberMD-56865
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: