Provider Demographics
NPI:1912986522
Name:XING, SELINA YINGQI (MD)
Entity Type:Individual
Prefix:DR
First Name:SELINA
Middle Name:YINGQI
Last Name:XING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:YINGQI
Other - Middle Name:
Other - Last Name:XING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:620 STANTON CHRISTIANA RD STE 202
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-2130
Mailing Address - Country:US
Mailing Address - Phone:302-384-7439
Mailing Address - Fax:302-384-7443
Practice Address - Street 1:620 STANTON CHRISTIANA RD STE 202
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-2130
Practice Address - Country:US
Practice Address - Phone:302-384-7439
Practice Address - Fax:302-384-7443
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-11
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0006679208100000X, 2081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1000035471Medicaid
DE20-1804154OtherBC/BS
DE6265452OtherCIGNA
DE186164OtherCOVENTRY
DE2408065000OtherKEYSTONE/AMERIHEALTH
DE294-1408OtherAETNA/USHC
DE2249384OtherUNITED HC
DE20-1804154OtherBC/BS
DE1000035471Medicaid