Healthcare Provider Details

I. General information

NPI: 1376478073
Provider Name (Legal Business Name): JONATHAN CHUNGHENG GIANG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6600 MADISON ST
NEW PORT RICHEY FL
34652-1971
US

IV. Provider business mailing address

9493 NEW POND RD APT 302
PORT RICHEY FL
34668-5988
US

V. Phone/Fax

Practice location:
  • Phone: 727-842-8468
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberTRN44961
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: