Individual
DR. XIAOHUI FAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
618 MAPLE VALLEY DR STE B, FARMINGTON, MO 63640-1976
(573) 756-3400
(573) 756-0800
Mailing address
618 MAPLE VALLEY DR STE B, FARMINGTON, MO 63640-1976
(573) 756-3400
(573) 756-0800
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
2003013364
MO
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
2003013364
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209158609
—
MO
01
—
43152
HCUSA
MO
01
—
646127
HEALTHLINK
MO
01
—
P00702176
MEDICARE RAILROAD
MO
01
—
P00822140
MEDICARE RAILROAD
MO
Enumeration date
06/20/2006
Last updated
08/15/2025
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