Healthcare Provider Details
I. General information
NPI: 1609376219
Provider Name (Legal Business Name): SARAH YONG JIANG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/20/2018
Last Update Date: 07/01/2025
Certification Date: 07/01/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER HI
96859-5001
US
IV. Provider business mailing address
1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER HI
96859-5001
US
V. Phone/Fax
- Phone: 808-433-1252
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2080P0205X |
| Taxonomy | Pediatric Endocrinology Physician |
| License Number | 0101269250 |
| License Number State | VA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 0101269250 |
| License Number State | VA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: