Provider Demographics
NPI:1770790446
Name:TIAN, THOMAS XIONG
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:XIONG
Last Name:TIAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6410 ROCKLEDGE DR STE 418
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-1842
Mailing Address - Country:US
Mailing Address - Phone:301-530-5308
Mailing Address - Fax:
Practice Address - Street 1:6410 ROCKLEDGE DR STE 418
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817-1842
Practice Address - Country:US
Practice Address - Phone:301-530-5308
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU-448171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist