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NPI Code Detail

MEDICARE: JIAQI GU MD

MEDICARE: JIAQI GU MD
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
1207R00000XInternal Medicine PhysicianU9933TX
2390200000XStudent in an Organized Health Care Education/Training Program
3208M00000XHospitalist PhysicianU9933TX

General Provider Information

NPI Number : 1558947986
Entity Type Code : Individual
Provider Name (Legal Business Name) : JIAQI GU MD
Provider Business Mailing Address
First Line : 920 FROSTWOOD DR
Second Line :
City : HOUSTON
State : TX
Zip : 77024-2314
Country : US
Telephone Number : 281-929-6184
Fax Number :
Provider Business Practice Location Address
First Line : 11800 ASTORIA BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77089-6041
Country : US
Telephone Number : 281-929-6184
Fax Number : 281-929-6424
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2021
Last Update Date : 04/06/2026

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