Healthcare Provider Details

I. General information

NPI: 1659010510
Provider Name (Legal Business Name): VICKIE XIN DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2022
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

231 ALBERT SABIN WAY
CINCINNATI OH
45267-0563
US

IV. Provider business mailing address

231 ALBERT SABIN WAY MSB 7409
CINCINNATI OH
45267-0563
US

V. Phone/Fax

Practice location:
  • Phone: 248-551-3000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number34.018381
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: