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Individual
PEIGUANG TYLER XIE
Active
Individual
PEIGUANG TYLER XIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01058468A
IN
208M00000X
Hospitalist Physician
Primary
01058468A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200511010
—
IN
01
—
P01148174
RR MEDICARE PTAN
IN
01
—
P01214638
RR MEDICARE PTAN
IN
Enumeration date
02/09/2006
Last updated
12/08/2014
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