Healthcare Provider Details

I. General information

NPI: 1831468511
Provider Name (Legal Business Name): HAN XU M.D. / PH.D. / FAPCR
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: SPONSOR AND INVESTIGATOR M.D., PH.D., FAPCR

II. Dates (important events)

Enumeration Date: 12/23/2011
Last Update Date: 03/26/2025
Certification Date: 03/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5545 BURNSIDE DR
ROCKVILLE MD
20853-2458
US

IV. Provider business mailing address

5545 BURNSIDE DR
ROCKVILLE MD
20853-2458
US

V. Phone/Fax

Practice location:
  • Phone: 301-222-7143
  • Fax: 866-458-0099
Mailing address:
  • Phone: 301-222-7143
  • Fax: 866-458-0099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1744R1102X
TaxonomyResearch Study Specialist
License NumberFWA00015357
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code1744R1103X
TaxonomyResearch Study Abstracter/Coder
License NumberFWA00015357
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberIORG0007849
License Number StateMD
# 4
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberIORG0007849
License Number StateMD
# 5
Primary TaxonomyN
Taxonomy Code208U00000X
TaxonomyClinical Pharmacology Physician
License NumberIORG0007849
License Number StateMD
# 6
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberFWA00015357
License Number StateMD
# 7
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number69891
License Number StateMD
# 8
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberD11379922
License Number StateMD
# 9
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberIORG0007849
License Number StateMD
# 10
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberIRB00009424
License Number StateMD
# 11
Primary TaxonomyN
Taxonomy Code174V00000X
TaxonomyClinical Ethicist
License NumberIRB00009424
License Number StateMD
# 12
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License NumberFWA00015357
License Number StateMD
# 13
Primary TaxonomyN
Taxonomy Code247ZC0005X
TaxonomyClinical Laboratory Director (Non-physician)
License NumberIORG0007849
License Number StateMD
# 14
Primary TaxonomyN
Taxonomy Code207ZC0008X
TaxonomyClinical Informatics (Pathology) Physician
License NumberIORG0007849
License Number StateMD
# 15
Primary TaxonomyN
Taxonomy Code2083C0008X
TaxonomyClinical Informatics Physician
License NumberIORG0007849
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: