Provider Demographics
NPI:1831468511
Name:XU, HAN (MD / PHD / FAPCR)
Entity Type:Individual
Prefix:DR
First Name:HAN
Middle Name:
Last Name:XU
Suffix:
Gender:M
Credentials:MD / PHD / FAPCR
Other - Prefix:DR
Other - First Name:SPONSOR
Other - Middle Name:AND
Other - Last Name:INVESTIGATOR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD, PHD, FAPCR
Mailing Address - Street 1:5545 BURNSIDE DR
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20853-2458
Mailing Address - Country:US
Mailing Address - Phone:301-222-7143
Mailing Address - Fax:866-458-0099
Practice Address - Street 1:5545 BURNSIDE DR
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20853-2458
Practice Address - Country:US
Practice Address - Phone:301-222-7143
Practice Address - Fax:866-458-0099
Is Sole Proprietor?:No
Enumeration Date:2011-12-23
Last Update Date:2024-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDIORG0007849170100000X, 171100000X, 174V00000X, 1835N1003X, 1835P1200X, 207R00000X, 207SG0201X, 207ZC0008X, 208U00000X, 247ZC0005X
MDFWA00015357171M00000X, 1744R1102X, 1744R1103X
MDIRB00009424174V00000X
MDD113799221835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No170100000XOther Service ProvidersMedical Genetics, Ph.D. Medical Genetics
No171100000XOther Service ProvidersAcupuncturist
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No1744R1102XOther Service ProvidersSpecialistResearch Study
No1744R1103XOther Service ProvidersSpecialistResearch Data Abstracter/Coder
No174V00000XOther Service ProvidersClinical Ethicist
No1835N1003XPharmacy Service ProvidersPharmacistNutrition Support
No1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207SG0201XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Genetics (M.D.)
No207ZC0008XAllopathic & Osteopathic PhysiciansPathologyClinical Informatics
No208U00000XAllopathic & Osteopathic PhysiciansClinical Pharmacology
No247ZC0005XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyClinical Laboratory Director, Non-physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDFWA00015357OtherHHS-OHRP-FWA
MDIRB00009294OtherHHS-OHRP-IRB
MDD11379922OtherMD-SDAT-CAQH-HMO
MDIORG0007849OtherHHS-OHRP-IORG