Provider Demographics
NPI:1104188747
Name:XIA, YUN (MD)
Entity Type:Individual
Prefix:
First Name:YUN
Middle Name:
Last Name:XIA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:100 INDUSTRIAL PARK RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:TAUNTON
Mailing Address - State:MA
Mailing Address - Zip Code:02780-7395
Mailing Address - Country:US
Mailing Address - Phone:508-822-2266
Mailing Address - Fax:508-823-5689
Practice Address - Street 1:100 INDUSTRIAL PARK RD
Practice Address - Street 2:SUITE 1
Practice Address - City:TAUNTON
Practice Address - State:MA
Practice Address - Zip Code:02780-7395
Practice Address - Country:US
Practice Address - Phone:508-822-2266
Practice Address - Fax:508-823-5689
Is Sole Proprietor?:No
Enumeration Date:2012-06-11
Last Update Date:2015-08-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA262750207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0070142Medicaid
OHH127860OtherMEDICARE PTAN