Provider Demographics
NPI:1598966301
Name:XIAO, PEIYING (MD)
Entity type:Individual
Prefix:DR
First Name:PEIYING
Middle Name:
Last Name:XIAO
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:232 BAY 7TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11228-3807
Mailing Address - Country:US
Mailing Address - Phone:718-435-3890
Mailing Address - Fax:
Practice Address - Street 1:717 56TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-3503
Practice Address - Country:US
Practice Address - Phone:718-435-3890
Practice Address - Fax:718-435-3489
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY240108207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY54516EM171Medicare PIN