Provider Demographics
NPI:1770016339
Name:XU, XIANG (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:XIANG
Middle Name:
Last Name:XU
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:DR
Other - First Name:SEAN
Other - Middle Name:
Other - Last Name:XU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD, PHD
Mailing Address - Street 1:330 BROOKLINE AVE
Mailing Address - Street 2:FINARD RM203
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-5491
Mailing Address - Country:US
Mailing Address - Phone:617-667-5957
Mailing Address - Fax:617-667-4095
Practice Address - Street 1:330 BROOKLINE AVE
Practice Address - Street 2:FINARD RM203
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-5491
Practice Address - Country:US
Practice Address - Phone:617-667-5957
Practice Address - Fax:617-667-4095
Is Sole Proprietor?:No
Enumeration Date:2017-04-10
Last Update Date:2025-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA292933207ZH0000X, 207ZP0007X, 207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZH0000XAllopathic & Osteopathic PhysiciansPathologyHematology
No207ZP0007XAllopathic & Osteopathic PhysiciansPathologyMolecular Genetic Pathology