Healthcare Provider Details

I. General information

NPI: 1194256867
Provider Name (Legal Business Name): WILLIAM CHIANG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2017
Last Update Date: 06/23/2022
Certification Date: 06/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19065 DR JOHN LAMBERT DR STE 2000-A
HAMMOND LA
70403-0997
US

IV. Provider business mailing address

19065 DR JOHN LAMBERT DR STE 2000-A
HAMMOND LA
70403-0997
US

V. Phone/Fax

Practice location:
  • Phone: 985-338-2423
  • Fax:
Mailing address:
  • Phone: 985-338-2423
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number29019
License Number StateMS
# 3
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number331557
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: