Healthcare Provider Details

I. General information

NPI: 1871662205
Provider Name (Legal Business Name): MEI XIA OMD, LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MAY HSIA OMD,LAC

II. Dates (important events)

Enumeration Date: 11/07/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10814 HICKORY RIDGE RD
COLUMBIA MD
21044-3622
US

IV. Provider business mailing address

4571 ROLLING MDWS
ELLICOTT CITY MD
21043-6557
US

V. Phone/Fax

Practice location:
  • Phone: 410-299-9666
  • Fax: 410-465-5289
Mailing address:
  • Phone: 410-299-9666
  • Fax: 410-465-5289

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberU01459
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: