Provider Demographics
NPI:1124440599
Name:XUAN, XIAQING (PA-C)
Entity type:Individual
Prefix:
First Name:XIAQING
Middle Name:
Last Name:XUAN
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:5601 LOCH RAVEN BLVD
Mailing Address - Street 2:GOOD SAMARITAN PROFESSIONAL BLDG./ SUITE 406
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21239-2945
Mailing Address - Country:US
Mailing Address - Phone:410-532-4700
Mailing Address - Fax:410-532-4770
Practice Address - Street 1:5601 LOCH RAVEN BLVD
Practice Address - Street 2:GOOD SAMARITAN PROFESSIONAL BLDG./ SUITE 406
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21239-2945
Practice Address - Country:US
Practice Address - Phone:410-532-4700
Practice Address - Fax:410-532-4770
Is Sole Proprietor?:No
Enumeration Date:2014-01-20
Last Update Date:2014-01-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDC0005271363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant