Provider Demographics
NPI:1912123225
Name:HAN, XIAODONG (ACUPUNCTUREPHYSICIAN)
Entity Type:Individual
Prefix:MR
First Name:XIAODONG
Middle Name:
Last Name:HAN
Suffix:
Gender:M
Credentials:ACUPUNCTUREPHYSICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1133 SE 18TH PLACE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-5404
Mailing Address - Country:US
Mailing Address - Phone:352-351-9373
Mailing Address - Fax:352-351-9892
Practice Address - Street 1:1133 SE 18TH PLACE
Practice Address - Street 2:SUITE 3
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-5404
Practice Address - Country:US
Practice Address - Phone:352-351-9373
Practice Address - Fax:352-351-9892
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP 752171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist