Provider Demographics
NPI:1639298516
Name:GAO, XIN (MD)
Entity Type:Individual
Prefix:
First Name:XIN
Middle Name:
Last Name:GAO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:GRADY MEMORIAL HOSPITAL
Mailing Address - Street 2:80 JESSE HILL JR. DR.
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30303
Mailing Address - Country:US
Mailing Address - Phone:404-616-7436
Mailing Address - Fax:404-616-9084
Practice Address - Street 1:GRADY MEMORIAL HOSPITAL
Practice Address - Street 2:80 JESSE HILL JR. DR.
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30303
Practice Address - Country:US
Practice Address - Phone:404-616-7436
Practice Address - Fax:404-616-9084
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2021-12-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS31882207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology