Basic Information
| Provider Information | |||||||||
| NPI: | 1871525386 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GUIANG | ||||||||
| FirstName: | SIXTO | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | III | ||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | UNIVERSITY OF MINNESOTA PHYSICIANS | ||||||||
| Address2: | 420 DELAWARE STREET SE, MMC 39 | ||||||||
| City: | MINNEAPOLIS | ||||||||
| State: | MN | ||||||||
| PostalCode: | 55455 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6126260644 | ||||||||
| FaxNumber: | 6126248176 | ||||||||
| Practice Location | |||||||||
| Address1: | UNIVERSITY OF MINNESOTA PHYSICIANS | ||||||||
| Address2: | 516 DELAWARE STREET SE, PWB FOURTH FLOOR, ROOM 4-100 | ||||||||
| City: | MINNEAPOLIS | ||||||||
| State: | MN | ||||||||
| PostalCode: | 55455 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6126260644 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/07/2006 | ||||||||
| LastUpdateDate: | 10/25/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | 33770 | MN | N | Allopathic & Osteopathic Physicians | Pediatrics | 2080N0001X | 33770 | MN | Y | Allopathic & Osteopathic Physicians | Pediatrics | Neonatal-Perinatal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 10387 | 05 | ND | MEDICAID | 546263100 | 05 | MN | MEDICAID | 7777470 | 05 | SD | MEDICAID | 1907774 | 05 | IA | MEDICAID | 31937900 | 05 | WI | MEDICAID | 1001416 | 01 | MN | PREFERRED ONE | OTHER | 8F753GU | 01 | MN | BCBS | OTHER | 0058208 | 05 | MT | MEDICAID | 103696 | 01 | MN | UCARE | OTHER | 769139 | 01 | MN | ARAZ | OTHER | 47-29748 | 01 | MN | MEDICA CHOICE & PRIMARY | OTHER | HP21982 | 01 | MN | HEALTHPARTNERS | OTHER |