Healthcare Provider Details

I. General information

NPI: 1689340101
Provider Name (Legal Business Name): XINYI HUANG PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2021
Last Update Date: 08/17/2021
Certification Date: 07/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 NORTH WOLFE STREET CARNEGIE 180
BALTIMORE MD
21287
US

IV. Provider business mailing address

600 NORTH WOLFE STREET CARNEGIE 180
BALTIMORE MD
21287
US

V. Phone/Fax

Practice location:
  • Phone: 404-242-2301
  • Fax:
Mailing address:
  • Phone: 404-242-2301
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28082
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: