Doctor Name: | XIAO M ANDROULAKIS |
NPI Number: | 1194990093 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | |
Business Practice Address: | 8 Richland Medical Park Road Suite 420 Columbia, SC - 292038004 |
Business Phone Number: | 8035456500 |
Business Fax Number: | 8035456051 |
Mailing Address: | 15 Medical Park Road, Suite 300 COLUMBIA |
State: | SC |
Postal Code: | 292036894 |
Phone Number: | 8035456050 |
Fax Number: | 8035456051 |
NPI Enumeration Date: | 04/23/2008 |
NPI Last Update Date: | 03/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TN |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |