Provider Demographics
NPI:1225873714
Name:XIA, MANVIS
Entity type:Individual
Prefix:MR
First Name:MANVIS
Middle Name:
Last Name:XIA
Suffix:
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:MAN HIN MANVIS
Other - Middle Name:
Other - Last Name:XIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2672 BAYVIEW AVENUE
Mailing Address - Street 2:
Mailing Address - City:TORONTO
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:M2L 1B9
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2672 BAYVIEW AVENUE
Practice Address - Street 2:
Practice Address - City:TORONTO
Practice Address - State:ONTARIO
Practice Address - Zip Code:M2L IB9
Practice Address - Country:CA
Practice Address - Phone:647-973-3855
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-27
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program