Provider Demographics
NPI:1568952273
Name:XIAOPING SHAO M.D LLC
Entity Type:Organization
Organization Name:XIAOPING SHAO M.D LLC
Other - Org Name:XIAOPING SHAO M.D LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLAR
Authorized Official - Prefix:
Authorized Official - First Name:PRIYANKA
Authorized Official - Middle Name:
Authorized Official - Last Name:MALHOTRA
Authorized Official - Suffix:
Authorized Official - Credentials:CREDENTIAL
Authorized Official - Phone:301-377-1836
Mailing Address - Street 1:9035 SHADY GROVE CT
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20877-1301
Mailing Address - Country:US
Mailing Address - Phone:301-377-1836
Mailing Address - Fax:301-281-4002
Practice Address - Street 1:9035 SHADY GROVE CT
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877-1301
Practice Address - Country:US
Practice Address - Phone:301-377-1836
Practice Address - Fax:301-281-4002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-17
Last Update Date:2018-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD630842084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty