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NPI Code Detail

MEDICARE: DR. HE JIANG DO

MEDICARE: DR. HE JIANG DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician02008412AIN
2208000000XPediatrics PhysicianU2236TX
32084P0800XPsychiatry Physician02008412AIN

General Provider Information

NPI Number : 1306466149
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HE JIANG DO
Provider Business Mailing Address
First Line : PO BOX 719094
Second Line :
City : CHICAGO
State : IL
Zip : 60677-9318
Country : US
Telephone Number : 317-777-6435
Fax Number : 317-777-6644
Provider Business Practice Location Address
First Line : 705 RILEY HOSPITAL DR
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46202-5109
Country : US
Telephone Number : 317-948-2700
Fax Number : 317-948-2959
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2020
Last Update Date : 05/18/2026

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