Provider Demographics
NPI:1033453378
Name:XU, GUANGPI (CMD)
Entity Type:Individual
Prefix:MR
First Name:GUANGPI
Middle Name:
Last Name:XU
Suffix:
Gender:M
Credentials:CMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4801 RANDOLPH RD
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-2235
Mailing Address - Country:US
Mailing Address - Phone:301-770-4480
Mailing Address - Fax:301-881-1831
Practice Address - Street 1:4801 RANDOLPH RD
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-2235
Practice Address - Country:US
Practice Address - Phone:301-770-4480
Practice Address - Fax:301-881-1831
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-26
Last Update Date:2012-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU02015171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist