Individual
XAVIER A.R. PREUD'HOMME
Active
Individual
XAVIER A.R. PREUD'HOMME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2006-00572
NC
2084P0800X
Psychiatry Physician
Primary
0101266623
VA
2084P0800X
Psychiatry Physician
2006-00572
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06157812
ECFMG
—
Enumeration date
06/30/2006
Last updated
08/11/2023
Update your record
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