Individual
XIAO M ANDROULAKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
34467
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
344675
—
SC
Enumeration date
04/23/2008
Last updated
03/14/2017
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