MEDICARE: YITONG XIAO 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
1	208600000X	Surgery Physician	0000000000000000	MO

General Provider Information

NPI Number	:	1700632155
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YITONG XIAO MD

Provider Business Mailing Address
First Line	:	5540 S HYDE PARK BLVD APT 414
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60637-1004
Country	:	US
Telephone Number	:	575-219-9245
Fax Number	:

Provider Business Practice Location Address
First Line	:	5000 HOLMES ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64110-2235
Country	:	US
Telephone Number	:	816-404-5344
Fax Number	:

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

Provider Enumeration Date	:	04/26/2024
Last Update Date	:	04/26/2024

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Directions to “ YITONG XIAO MD” Practice Location

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