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XIAO HONG JIN MD PLLC NPI 1467800599


NPI Information

NPI: 1467800599
Provider Name: XIAO HONG JIN MD PLLC

Doing Business As: XIAO HONG JIN MD

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
15 GOODRICH AVE
PETERSBURG, VA
ZIP 23805
Phone: (804) 732-0618
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XIAO HONG JIN MD PLLC is a primary care clinic center in Petersburg, VA. XIAO HONG JIN MD PLLC NPI is 1467800599. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Xiao Hong Jin Md.

The provider's business location address is:

15 GOODRICH AVE
PETERSBURG, VA
ZIP 23805-119
Phone: (804) 732-0618
Fax: (804) 861-6846

The provider's authorized official is Xiao Hong Jin .
The authorized official title is Medical Director and has the following contact phone number (804) 732-0618.

The enumeration date for this NPI number is 5/31/2016 and was last updated on 1/30/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
2261QP2300XClinic/CenterPrimary CareYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11679766752MEDICAIDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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