Provider Demographics
NPI:1811141278
Name:JIA, YUXIA
Entity type:Individual
Prefix:
First Name:YUXIA
Middle Name:
Last Name:JIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 850
Mailing Address - Street 2:PENN STATE HERSHEY MEDICAL CENTER
Mailing Address - City:HERSHEY
Mailing Address - State:PA
Mailing Address - Zip Code:17033-0850
Mailing Address - Country:US
Mailing Address - Phone:717-531-7782
Mailing Address - Fax:717-531-5076
Practice Address - Street 1:500 UNIVERSITY DR
Practice Address - Street 2:PENN STATE HERSHEY MEDICAL CENTER
Practice Address - City:HERSHEY
Practice Address - State:PA
Practice Address - Zip Code:17033-2360
Practice Address - Country:US
Practice Address - Phone:717-531-7782
Practice Address - Fax:717-531-5076
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-12
Last Update Date:2014-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD449126207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology