NPI 1194990093 · live from the CMS NPI Registry
Xiao M Androulakis, MD
Psychiatry & Neurology, Neurology in Columbia, SC. National Provider Identifier 1194990093, active.
NPI record
| NPI | 1194990093 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 8 Richland Medical Park Road, Suite 420, Columbia, SC 29203 |
| Practice phone | 803-545-6500 |
| Mailing address | 3555 Harden Street Ext, 15 Medical Park, Suite 300, Columbia, SC 29203 |
| Enumerated | April 23, 2008 |
| Last updated | March 14, 2017 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — (TN) |
| Psychiatry & Neurology, Neurology primary | 2084N0400X | 34467 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.