MEDICARE: DR. XIAO-QUAN SHU

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	050090	NY

General Provider Information

NPI Number	:	1104816032
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. XIAO-QUAN SHU

Provider Business Mailing Address
First Line	:	13636 39TH AVE
Second Line	:	8FL
City	:	FLUSHING
State	:	NY
Zip	:	11354-5516
Country	:	US
Telephone Number	:	718-886-7808
Fax Number	:	718-886-7882

Provider Business Practice Location Address
First Line	:	13636 39TH AVE
Second Line	:	8FL
City	:	FLUSHING
State	:	NY
Zip	:	11354-5516
Country	:	US
Telephone Number	:	718-886-7808
Fax Number	:	718-886-7882

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/22/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1518143718 — MS. AMY WAI KI LAW RPH
Practice Location Address:

13654 39TH AVE
FLUSHING, NY
11354-5516

Practice Phone: 718-461-5500
Practice Fax: 718-461-5501

1013940576 — APOTHE SPACE DRUGS LLC
Practice Location Address:

13618 39TH AVE
FLUSHING, NY
11354-5516

Practice Phone: 718-321-7421
Practice Fax:

1285656116 — DR. JAYASEKHARAN KOMERATH M.D.
Practice Location Address:

13618 39TH AVE , SUITE 906
FLUSHING, NY
11354-5516

Practice Phone: 718-961-8817
Practice Fax: 718-961-8815

1265446082 — KOO & CO., INC
Practice Location Address:

13636 39TH AVE
FLUSHING, NY
11354-5516

Practice Phone: 718-321-1716
Practice Fax: 718-321-1528

1134210941 — DR. JULIA HSU M.D.
Practice Location Address:

13636 39TH AVE FL 6
FLUSHING, NY
11354-5516

Practice Phone: 718-888-9785
Practice Fax: 718-888-9761

1649337890 — CORNELL MEDICAL, PC
Practice Location Address:

13618 39TH AVE , SUITE 906
FLUSHING, NY
11354-5516

Practice Phone: 718-961-8817
Practice Fax: 718-961-8815

Directions to “ DR. XIAO-QUAN SHU ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.