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NPI Code Detail

MEDICARE: DR. JIASHOU J XU M.D.

MEDICARE: DR. JIASHOU J XU M.D.
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
1208600000XSurgery Physician17328NV

General Provider Information

NPI Number : 1861786329
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JIASHOU J XU M.D.
Provider Business Mailing Address
First Line : 10001 S EASTERN AVE STE 201
Second Line :
City : HENDERSON
State : NV
Zip : 89052-3908
Country : US
Telephone Number : 702-914-2420
Fax Number : 702-914-6653
Provider Business Practice Location Address
First Line : 8930 W SUNSET RD STE 300
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-5013
Country : US
Telephone Number : 702-258-7788
Fax Number : 702-258-7787
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2011
Last Update Date : 08/05/2019

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