Provider Demographics
NPI:1992837702
Name:XU, WEIWEI (MD)
Entity Type:Individual
Prefix:DR
First Name:WEIWEI
Middle Name:
Last Name:XU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:20130 LAKE CHABOT ROAD
Mailing Address - Street 2:SUITE 302
Mailing Address - City:CASTRO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94546
Mailing Address - Country:US
Mailing Address - Phone:510-889-1700
Mailing Address - Fax:510-889-7170
Practice Address - Street 1:20130 LAKE CHABOT ROAD
Practice Address - Street 2:SUITE 302
Practice Address - City:CASTRO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94546
Practice Address - Country:US
Practice Address - Phone:510-889-1700
Practice Address - Fax:510-889-7170
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-09
Last Update Date:2009-12-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA98111208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology