Healthcare Provider Details

I. General information

NPI: 1982915336
Provider Name (Legal Business Name): XUELI HAO M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2010
Last Update Date: 02/10/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

615 S. NEW BALLAS ROAD
ST. LOUIS MD
63141
US

IV. Provider business mailing address

660 OFFICE PKWY
SAINT LOUIS MO
63141-7103
US

V. Phone/Fax

Practice location:
  • Phone: 314-251-6000
  • Fax:
Mailing address:
  • Phone: 314-991-3556
  • Fax: 314-991-0691

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number2016006168
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: