Provider Demographics
NPI:1760822415
Name:GAO, XIANG (MD)
Entity Type:Individual
Prefix:
First Name:XIANG
Middle Name:
Last Name:GAO
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:200 HAWKINS DR
Mailing Address - Street 2:DEPT OF SURGERY
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1009
Mailing Address - Country:US
Mailing Address - Phone:319-356-2902
Mailing Address - Fax:319-356-8682
Practice Address - Street 1:200 HAWKINS DR
Practice Address - Street 2:DEPT OF SURGERY
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242-1009
Practice Address - Country:US
Practice Address - Phone:319-356-2902
Practice Address - Fax:319-356-8682
Is Sole Proprietor?:No
Enumeration Date:2013-06-26
Last Update Date:2016-06-15
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Provider Licenses
StateLicense IDTaxonomies
IAR-10635208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery