Provider Demographics
NPI:1811398712
Name:CATHY XU MD
Entity Type:Organization
Organization Name:CATHY XU MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:RUIFANG
Authorized Official - Last Name:XU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:559-375-5774
Mailing Address - Street 1:4646 N 1ST ST
Mailing Address - Street 2:STE 102
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93726-0973
Mailing Address - Country:US
Mailing Address - Phone:559-226-4646
Mailing Address - Fax:559-227-4646
Practice Address - Street 1:4646 N 1ST ST
Practice Address - Street 2:STE 102
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93726-0973
Practice Address - Country:US
Practice Address - Phone:559-226-4646
Practice Address - Fax:559-227-4646
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-10
Last Update Date:2014-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty