Provider Demographics
NPI:1225440688
Name:FU, PAUL XIAOBEI (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:XIAOBEI
Last Name:FU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 LANSING ST
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:NY
Mailing Address - Zip Code:13021-1983
Mailing Address - Country:US
Mailing Address - Phone:315-252-7434
Mailing Address - Fax:315-253-0841
Practice Address - Street 1:17 E GENESEE ST STE 101
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:NY
Practice Address - Zip Code:13021-4112
Practice Address - Country:US
Practice Address - Phone:315-252-7434
Practice Address - Fax:315-253-0841
Is Sole Proprietor?:No
Enumeration Date:2014-05-20
Last Update Date:2019-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT601092084N0400X
390200000X
NY3020822084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program