Provider Demographics
NPI:1013952241
Name:OU, XIAOLAN (MD)
Entity Type:Individual
Prefix:
First Name:XIAOLAN
Middle Name:
Last Name:OU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 ELMWOOD AVENUE, BOX 626
Mailing Address - Street 2:URMC
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14642-0001
Mailing Address - Country:US
Mailing Address - Phone:585-275-3191
Mailing Address - Fax:585-273-3637
Practice Address - Street 1:601 ELMWOOD AVENUE
Practice Address - Street 2:UNIVERSITY OF ROCHESTER MEDICAL CENTER
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14642-0001
Practice Address - Country:US
Practice Address - Phone:585-275-3191
Practice Address - Fax:585-273-3637
Is Sole Proprietor?:No
Enumeration Date:2006-06-19
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY224748207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02741404Medicaid
NYDD2214-GRP:70008AMedicare PIN
NYRA0444-GRP:BA0017Medicare PIN
H69390Medicare UPIN