Healthcare Provider Details
I. General information
NPI: 1821118381
Provider Name (Legal Business Name): JAMES T LIANG MD. INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/30/2007
Last Update Date: 03/17/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5500 RIDGE RD STE 220
PARMA OH
44129-2367
US
IV. Provider business mailing address
5500 RIDGE RD STE 220
PARMA OH
44129-2367
US
V. Phone/Fax
- Phone: 440-842-7447
- Fax: 440-842-7484
- Phone: 440-842-7447
- Fax: 440-842-7484
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 039659 |
| License Number State | OH |
VIII. Authorized Official
Name: DR.
JAMES
T
LIANG
Title or Position: PRESIDENT
Credential: M.D.
Phone: 440-842-7447