Healthcare Provider Details

I. General information

NPI: 1194340653
Provider Name (Legal Business Name): HOPE XU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2020
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

915 OLENTANGY RIVER RD FL 2
COLUMBUS OH
43212-3153
US

IV. Provider business mailing address

30 PRICE AVE UNIT 709
COLUMBUS OH
43201-4643
US

V. Phone/Fax

Practice location:
  • Phone: 614-293-8566
  • Fax:
Mailing address:
  • Phone: 949-400-7731
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number125.077011
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: