Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 5101018683 | MI |
N | 207R00000X | Internist | 5101018683 | MI |
N | 111NI0900X | Internist | 5101018683 | MI |
Y | 207RH0003X | Hematology & Oncology | 308609 | LA |
NPI | 1063726206 |
---|---|
Provider Name | Shaun Xiao |
First Address | New Orleans, LA 70121-2429 |
Second Address | Covington, LA 70433 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/07/2010 |
Last Update Date | 28/08/2018 |