MEDICARE: DR. JINXUAN HAO 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
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1891437729
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JINXUAN HAO DO

Provider Business Mailing Address
First Line	:	2514 WAVERLY ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19146-1050
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3400 SPRUCE ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19104-4238
Country	:	US
Telephone Number	:	215-662-2250
Fax Number	:	215-615-3995

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/11/2022
Last Update Date	:	12/16/2025

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