Provider Demographics
NPI:1316259385
Name:XIAO, AIYING ANGIE (MD)
Entity type:Individual
Prefix:
First Name:AIYING
Middle Name:ANGIE
Last Name:XIAO
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:1400 US HIGHWAY 61
Mailing Address - Street 2:SUITE H1341
Mailing Address - City:FESTUS
Mailing Address - State:MO
Mailing Address - Zip Code:63028-4100
Mailing Address - Country:US
Mailing Address - Phone:636-543-2230
Mailing Address - Fax:636-543-2231
Practice Address - Street 1:1400 US HIGHWAY 61
Practice Address - Street 2:SUITE H1341
Practice Address - City:FESTUS
Practice Address - State:MO
Practice Address - Zip Code:63028-4100
Practice Address - Country:US
Practice Address - Phone:636-543-2230
Practice Address - Fax:636-543-2231
Is Sole Proprietor?:No
Enumeration Date:2010-07-07
Last Update Date:2021-12-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
SCLL325802084P0800X
MO20140349202084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry