Provider Demographics
NPI:1346216645
Name:XIA, YAQIN
Entity type:Individual
Prefix:
First Name:YAQIN
Middle Name:
Last Name:XIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 OXFORD DR STE 203
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-2351
Mailing Address - Country:US
Mailing Address - Phone:724-468-6477
Mailing Address - Fax:724-468-6498
Practice Address - Street 1:400 OXFORD DR STE 203
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-2351
Practice Address - Country:US
Practice Address - Phone:724-468-6477
Practice Address - Fax:724-468-6498
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD427060174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA094032Medicare ID - Type Unspecified