Healthcare Provider Details

I. General information

NPI: 1033763222
Provider Name (Legal Business Name): XIN HUANG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2019
Last Update Date: 07/26/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3901 BEAUBIEN BLVD, CHILDREN'S HOSPITAL OF MICHIGAN
DETROIT MI
48201
US

IV. Provider business mailing address

UNIVERSITY TOWERS APARTMENT 4500 CASS AVE
DETROIT MI
78201
US

V. Phone/Fax

Practice location:
  • Phone: 313-745-1892
  • Fax:
Mailing address:
  • Phone: 813-606-7857
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: