Provider Demographics
NPI:1720536998
Name:XU, MING (L,AC)
Entity Type:Individual
Prefix:
First Name:MING
Middle Name:
Last Name:XU
Suffix:
Gender:F
Credentials:L,AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8885 CENTRE PARK DR STE 2F
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-2199
Mailing Address - Country:US
Mailing Address - Phone:240-810-4262
Mailing Address - Fax:
Practice Address - Street 1:8885 CENTRE PARK DR STE 2F
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045
Practice Address - Country:US
Practice Address - Phone:240-810-4262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-16
Last Update Date:2018-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251V00000X
MDU02349171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No251V00000XAgenciesVoluntary or Charitable