Healthcare Provider Details

I. General information

NPI: 1659069433
Provider Name (Legal Business Name): XI CAO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2023
Last Update Date: 04/17/2024
Certification Date: 04/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3601 W THIRTEEN MILE RD BEAUMONT HOSPITAL-ROYAL OAK
ROYAL OAK MI
48073
US

IV. Provider business mailing address

3601 W THIRTEEN MILE RD GME OFFICE, BEAUMONT HOSPITAL-ROYAL OAK
ROYAL OAK MI
48073
US

V. Phone/Fax

Practice location:
  • Phone: 248-551-7032
  • Fax:
Mailing address:
  • Phone: 248-551-7032
  • 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: