Active NPI
Xiaoping Shao M.D LLC
- Psychiatry Physician
- Gaithersburg, MD
National Provider Identifier
1568952273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- D63084
- Legal business name
- XIAOPING SHAO M.D LLC
- Doing business as
- Xiaoping Shao M.D LLC
- Practice address
- 9035 Shady Grove CT
Gaithersburg, MD 20877-1301 - Phone
- (301) 377-1836
- Fax
- (301) 281-4002
- NPI assigned
- May 17, 2018
- Last updated
- May 17, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Priyanka Malhotra, CREDENTIAL
- Title
- Billar
- Phone
- (301) 377-1836
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | D63084 | MD | Primary |
Addresses
Primary practice location
9035 Shady Grove CT
Gaithersburg, MD 20877-1301
Mailing address
9035 Shady Grove CT
Gaithersburg, MD 20877-1301
Phone (301) 377-1836
Other names 1
- XIAOPING SHAO M.D LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
9035 Shady Grove Ct
Gaithersburg, MD 20877
Phone (240) 205-2081
9710 Traville Gateway Dr
Rockville, MD 20850
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526515200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1526515200000",
"number": "1568952273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9035 SHADY GROVE CT",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208771301",
"telephone_number": "301-377-1836",
"fax_number": "301-281-4002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9035 SHADY GROVE CT",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208771301",
"telephone_number": "301-377-1836",
"fax_number": "301-281-4002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "XIAOPING SHAO M.D LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-17",
"last_updated": "2018-05-17",
"status": "A",
"authorized_official_last_name": "MALHOTRA",
"authorized_official_first_name": "PRIYANKA",
"authorized_official_title_or_position": "BILLAR",
"authorized_official_telephone_number": "301-377-1836",
"authorized_official_credential": "CREDENTIAL"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "D63084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "XIAOPING SHAO M.D LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.