Healthcare Provider Details

I. General information

NPI: 1245480086
Provider Name (Legal Business Name): ZHIBIN JIANG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2008
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

48TH MDG/RAF LAKENHEATH APO, AE 09461
APO AE
09461
US

IV. Provider business mailing address

48TH MDG/RAF LAKENHEATH APO, AE 09461
APO AE
09461
US

V. Phone/Fax

Practice location:
  • Phone: 44-016-3852
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number53037
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: