Provider Demographics
NPI:1922170323
Name:CAO, XIANGHUI (MD)
Entity Type:Individual
Prefix:
First Name:XIANGHUI
Middle Name:
Last Name:CAO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:XIANGHUI
Other - Middle Name:
Other - Last Name:CAO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:968 FIRST COLONIAL ROAD
Mailing Address - Street 2:103
Mailing Address - City:VIRGINIA
Mailing Address - State:VA
Mailing Address - Zip Code:23454
Mailing Address - Country:US
Mailing Address - Phone:757-481-3808
Mailing Address - Fax:757-481-2498
Practice Address - Street 1:968 FIRST COLONIAL ROAD
Practice Address - Street 2:103
Practice Address - City:VIRGINIA
Practice Address - State:VA
Practice Address - Zip Code:23454
Practice Address - Country:US
Practice Address - Phone:757-481-3808
Practice Address - Fax:757-481-2498
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2008-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012340272084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010044588Medicaid
VAC05871Medicare PIN
H86936Medicare UPIN