Ji Huang Llc | |
224 S Woods Mill Rd Ste 370s Chesterfield MO 63017-3603 | |
(314) 878-2460 | |
(314) 878-2467 |
Full Name | Ji Huang Llc |
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Speciality | Internal Medicine |
Location | 224 S Woods Mill Rd Ste 370s, Chesterfield, Missouri |
Authorized Official Name and Position | Ji Huang (OWNER) |
Authorized Official Contact | 3148782460 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ji Huang Llc 224 S Woods Mill Rd Ste 370s Chesterfield MO 63017-3603 Ph: (314) 878-2460 | Ji Huang Llc 224 S Woods Mill Rd Ste 370s Chesterfield MO 63017-3603 Ph: (314) 878-2460 |
NPI Number | 1174140701 |
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Provider Enumeration Date | 06/30/2020 |
Last Update Date | 07/06/2020 |
Medicare PECOS PAC ID | 0143645473 |
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Medicare Enrollment ID | O20200804002209 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174140701 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Ji Huang |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1922237130 PECOS PAC ID: 5092960179 Enrollment ID: I20130220000417 |
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