Xie, Peiguang Tyler
Xie, Peiguang Tyler is an individual health care provider with primary practice located at 1400 N Ritter Ave Suite 375B, Indianapolis IN 46219-3052. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Xie, Peiguang Tyler can be contacted via phone (317) 355-9370.Contact Information
Primary practice address
1400 N Ritter Ave Suite 375B
Indianapolis IN 46219-3052
Phone: (317) 355-9370
Fax: (317) 621-5678
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01058468A | Indiana |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 01058468A | Indiana |
Profile Details
| NPI number | 1144293150 |
|---|---|
| LBN Legal business name | Xie, Peiguang Tyler |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 9th, 2006 |
| Last updated | Dec 8th, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144293150 | NPPES |
| Indiana | MEDICAID | 200511010 | |
| Indiana | Other | P01214638 | |
| Indiana | Other | P01148174 |
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