Shawn Xiao Ma, MD
Radiology, Vascular & Interventional Radiology in New York, NY. Individual provider (NPI-1).
NPI number1114487451
StatusActive
Last updated in NPPESJul 20, 2025
Details
- NPI
- 1114487451
- Entity type
- Individual (NPI-1)
- Name
- Shawn Xiao Ma
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 22, 2019
- Certification date
- Jul 20, 2025
- Last updated
- Jul 20, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0204X | Radiology, Vascular & Interventional Radiology | 335985 | NY | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
525 E 68th StNew York, NY 10065-4870
Phone 818-263-4537
Mailing address
525 E 68th StNew York, NY 10065-4870
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