Individual
SU XU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4915 EHRLICH RD, TAMPA, FL 33624
(813) 960-2400
(813) 960-2410
Mailing address
15416 N FLORIDA AVE, TAMPA, FL 33613-1244
(813) 960-2400
(813) 960-2410
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
ME90020
FL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
ME90020
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0081220
CIGNA
FL
05
—
102177400
—
FL
01
—
43262
FL BLUE
FL
01
—
592235385
MULTIPLAN
FL
01
—
592235685
UNITED HC
FL
01
—
7367680
AETNA
FL
Enumeration date
06/16/2008
Last updated
09/12/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us