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NPI Code Detail

MEDICARE: XIAOMEI GAO-HICKMAN MD

MEDICARE: XIAOMEI GAO-HICKMAN MD
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
12084N0400XNeurology Physician35 081268OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
157001OTHERFLBCBS
2201841070OTHERFLTAX ID

General Provider Information

NPI Number : 1336133628
Entity Type Code : Individual
Provider Name (Legal Business Name) : XIAOMEI GAO-HICKMAN MD
Provider Business Mailing Address
First Line : 2160 EWING CRAWFIS CIR
Second Line :
City : BELLEFONTAINE
State : OH
Zip : 43311-9042
Country : US
Telephone Number : 937-651-6962
Fax Number : 937-651-6959
Provider Business Practice Location Address
First Line : 2160 EWING CRAWFIS CIR
Second Line :
City : BELLEFONTAINE
State : OH
Zip : 43311-9042
Country : US
Telephone Number : 937-651-6962
Fax Number : 937-651-6959
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2005
Last Update Date : 03/10/2015

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Directions to “ XIAOMEI GAO-HICKMAN MD” Practice Location

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