Healthcare Provider Details

I. General information

NPI: 1346343449
Provider Name (Legal Business Name): XIAOPING HUANG MD PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/06/2006
Last Update Date: 11/08/2021
Certification Date: 11/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4160 JOHN R SUITE 729
DETROIT MI
48201
US

IV. Provider business mailing address

PO BOX 99672
TROY MI
48099-9672
US

V. Phone/Fax

Practice location:
  • Phone: 313-879-4231
  • Fax: 313-831-8307
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number4301066737
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: