Provider Demographics
NPI:1194064253
Name:XU, PING (OMD)
Entity type:Individual
Prefix:DR
First Name:PING
Middle Name:
Last Name:XU
Suffix:
Gender:M
Credentials:OMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5288 SPRING MOUNTAIN RD STE 250
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-8735
Mailing Address - Country:US
Mailing Address - Phone:702-220-4202
Mailing Address - Fax:702-220-4205
Practice Address - Street 1:5288 SPRING MOUNTAIN RD STE 250
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-8735
Practice Address - Country:US
Practice Address - Phone:702-220-4202
Practice Address - Fax:702-220-4205
Is Sole Proprietor?:No
Enumeration Date:2013-02-10
Last Update Date:2013-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV1041171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist