Provider Demographics
NPI:1487639720
Name:GAO, CATHY XIANG (MD)
Entity Type:Individual
Prefix:DR
First Name:CATHY
Middle Name:XIANG
Last Name:GAO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:11601 QUARTERFIELD RD
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-1280
Mailing Address - Country:US
Mailing Address - Phone:410-992-7440
Mailing Address - Fax:443-276-0349
Practice Address - Street 1:4801 DORSEY HALL DR
Practice Address - Street 2:SUITE 226
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21042-7766
Practice Address - Country:US
Practice Address - Phone:410-992-7440
Practice Address - Fax:443-276-0349
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-09
Last Update Date:2014-01-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD577182081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD409914100Medicaid
MDH99410Medicare UPIN
MD409914100Medicaid