Healthcare Provider Details

I. General information

NPI: 1912967092
Provider Name (Legal Business Name): DR. JAMES T LIANG
Entity Type: Individual
Gender: Male
Sole Proprietor: X

Provider Other Name: DR. TSUNG LIANG

II. Dates (important events)

Enumeration Date: 03/24/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5500 RIDGE RD #220
PARMA OH
44129-2394
US

IV. Provider business mailing address

5500 RIDGE RD #220
PARMA OH
44129-2394
US

V. Phone/Fax

Practice location:
  • Phone: 440-842-7447
  • Fax: 440-842-7484
Mailing address:
  • Phone: 440-842-7447
  • Fax: 440-842-7484

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number039659
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: