MEDICARE: XIAO WU 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	2085R0204X	Vascular & Interventional Radiology Physician	A189249	CA
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1952937005
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	XIAO WU MD

Provider Business Mailing Address
First Line	:	513 PARNASSUS AVE # S321
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94143-2205
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	505 PARNASSUS AVE FL 3
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94143-2204
Country	:	US
Telephone Number	:	415-325-1968
Fax Number	:

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

Provider Enumeration Date	:	03/20/2020
Last Update Date	:	04/15/2026

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