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NPI Code Detail

MEDICARE: JONATHAN CHIAO M.D.

MEDICARE: JONATHAN CHIAO M.D.
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
1207YP0228XPediatric Otolaryngology PhysicianT0445TX
2207Y00000XOtolaryngology PhysicianT0445TX

General Provider Information

NPI Number : 1821447426
Entity Type Code : Individual
Provider Name (Legal Business Name) : JONATHAN CHIAO M.D.
Provider Business Mailing Address
First Line : 4845 ALAMEDA AVE
Second Line :
City : EL PASO
State : TX
Zip : 79905-2705
Country : US
Telephone Number : 915-252-8402
Fax Number :
Provider Business Practice Location Address
First Line : 4845 ALAMEDA AVE
Second Line :
City : EL PASO
State : TX
Zip : 79905-2705
Country : US
Telephone Number : 915-242-8402
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2016
Last Update Date : 01/08/2026

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