Dr. Xiaoduo Fan, MD
Psychiatry & Neurology, Psychiatry in Worcester, Massachusetts
1568453074- Practice location
- 365 Plantation St, Worcester, MA 01605-2397
- Phone
- 508-860-1260
- Fax
- 508-334-2537
- Last updated
- November 22, 2020
Xiaoduo Fan is a Psychiatry & Neurology, Psychiatry based in Worcester, MA. Xiaoduo Fan practices in Worcester, MA and has the professional credentials of MD. The NPI Number for Xiaoduo Fan is 1568453074 and holds a License No. 225438 (MA). The current practice location address for Xiaoduo Fan is 365 Plantation St, Worcester, MA 01605-2397 and can be reached out via phone at 508-860-1260 and via fax at 508-334-2537.
Provider Profile Details
- NPI Number
- 1568453074
- Provider Name
- Xiaoduo Fan
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 365 Plantation St, Worcester, MA 01605-2397
- Phone Number
- 508-860-1260
- Fax Number
- 508-334-2537
- Primary Taxonomy
- Psychiatry & Neurology, Psychiatry · 2084P0800X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 3, 2005
- Last Update Date
- November 22, 2020
- Certification Date
- November 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 365 Plantation St
Worcester, MA 01605-2397 - City
- Worcester
- State
- Massachusetts
- Zip
- 01605-2397
- Phone Number
- 508-860-1260
- Fax Number
- 508-334-2537
Provider Business Mailing Address Details
- Address
- Po Box 415348
Boston, MA 02241-5348 - City
- Boston
- State
- MA
- Zip
- 02241-5348
- Phone Number
- 800-225-8885
- Fax Number
- 508-334-1977
License Information
- License Number
- 225438
- License State
- MA
- Taxonomy
- Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Xiaoduo Fan, MD?
The NPI number of Dr. Xiaoduo Fan, MD is 1568453074. It was assigned on November 3, 2005 and is currently active in the NPPES registry.
What is the specialty of Dr. Xiaoduo Fan, MD?
Dr. Xiaoduo Fan, MD is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in MA under license number 225438.
Where does Dr. Xiaoduo Fan, MD practice?
The practice location is 365 Plantation St, Worcester, MA 01605-2397. The office can be reached at 508-860-1260 (phone) or 508-334-2537 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1568453074 directly on the NPPES registry website.