Provider Demographics
NPI:1578591145
Name:CUI, LUKE XUELIANG (MD PHD)
Entity Type:Individual
Prefix:
First Name:LUKE
Middle Name:XUELIANG
Last Name:CUI
Suffix:
Gender:M
Credentials:MD PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 EOFF ST
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:WV
Mailing Address - Zip Code:26003-3823
Mailing Address - Country:US
Mailing Address - Phone:304-234-8663
Mailing Address - Fax:304-234-8960
Practice Address - Street 1:109 PLAZA DR
Practice Address - Street 2:
Practice Address - City:SAINT CLAIRSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43950-7713
Practice Address - Country:US
Practice Address - Phone:740-695-1275
Practice Address - Fax:740-695-1285
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2015-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35087000207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00354766OtherRAILROAD MEDICARE
WV3810006219Medicaid
OH2663041Medicaid
P00354766OtherRAILROAD MEDICARE
OH7364621Medicare PIN