Provider Demographics
NPI:1962466565
Name:MU, XIAO C (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:XIAO
Middle Name:C
Last Name:MU
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6025 LEE HWY STE 205
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-2928
Mailing Address - Country:US
Mailing Address - Phone:423-499-6128
Mailing Address - Fax:423-499-6129
Practice Address - Street 1:6025 LEE HWY STE 205
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-2928
Practice Address - Country:US
Practice Address - Phone:423-499-6128
Practice Address - Fax:423-499-6129
Is Sole Proprietor?:No
Enumeration Date:2006-04-12
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000037428207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3886192Medicare PIN
TNH52639Medicare UPIN