Provider Demographics
NPI:1659069433
Name:CAO, XI (MD)
Entity Type:Individual
Prefix:
First Name:XI
Middle Name:
Last Name:CAO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3601 W THIRTEEN MILE RD
Mailing Address - Street 2:GME OFFICE, BEAUMONT HOSPITAL-ROYAL OAK
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48073
Mailing Address - Country:US
Mailing Address - Phone:248-551-7032
Mailing Address - Fax:
Practice Address - Street 1:3601 W THIRTEEN MILE RD
Practice Address - Street 2:BEAUMONT HOSPITAL-ROYAL OAK
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48073
Practice Address - Country:US
Practice Address - Phone:248-551-7032
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-28
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program