Xiaoping Shao M.d Llc | |
9035 Shady Grove Ct Gaithersburg MD 20877-1301 | |
(301) 377-1836 | |
(301) 281-4002 |
Full Name | Xiaoping Shao M.d Llc |
---|---|
Speciality | Psychiatry & Neurology |
Location | 9035 Shady Grove Ct, Gaithersburg, Maryland |
Authorized Official Name and Position | Priyanka Malhotra (BILLAR) |
Authorized Official Contact | 3013771836 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Xiaoping Shao M.d Llc 9035 Shady Grove Ct Gaithersburg MD 20877-1301 Ph: (301) 377-1836 | Xiaoping Shao M.d Llc 9035 Shady Grove Ct Gaithersburg MD 20877-1301 Ph: (301) 377-1836 |
NPI Number | 1568952273 |
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Provider Enumeration Date | 05/17/2018 |
Last Update Date | 05/17/2018 |
Medicare PECOS PAC ID | 3274888573 |
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Medicare Enrollment ID | O20180608000909 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568952273 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | D63084 (Maryland) | Primary |
Provider Name | Xiaoping Shao |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1548326119 PECOS PAC ID: 1355362070 Enrollment ID: I20070327000595 |
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