Individual
DR. XINHAO CYNTHIA FAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 SPINDRIFT DR, WINDSONG RADIOLOGY GROUP, P.C., WILLIAMSVILLE, NY 14221-7800
(716) 631-2500
(716) 631-1249
Mailing address
55 SPINDRIFT DR, WINDSONG RADIOLOGY GROUP, P.C., WILLIAMSVILLE, NY 14221-7800
(716) 631-2500
(716) 631-1249
Taxonomy
Speciality
Code
Description
License number
State
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
Primary
4301079723
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301079723
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00028479101
UNIVERA
NY
01
—
000530194001
WNY BSBC
NY
05
—
02972067
—
NY
01
—
080624000030
FIDELIS
NY
01
—
2115194
IHA
NY
Enumeration date
03/26/2007
Last updated
03/26/2014
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