Healthcare Provider Details

I. General information

NPI: 1013059054
Provider Name (Legal Business Name): CINDY XIN HUANG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2007
Last Update Date: 09/17/2024
Certification Date: 09/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9131 PISCATAWAY RD STE 750
CLINTON MD
20735-2581
US

IV. Provider business mailing address

6643 OSBORN ST
FALLS CHURCH VA
22046-1802
US

V. Phone/Fax

Practice location:
  • Phone: 703-624-4668
  • Fax: 703-665-7249
Mailing address:
  • Phone: 703-624-4668
  • Fax: 703-665-7249

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number0101254058
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberD0070941
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number0101254058
License Number StateVA
# 4
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberMD038664
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: