| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 06/30/2020 |
| Last Update Date | 07/06/2020 |
| Certification Date | 07/06/2020 |
| Medicare PECOS PAC ID | 0143645473 |
|---|---|
| Medicare Enrollment ID | O20200804002209 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174140701 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Ji Huang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922237130 PECOS PAC ID: 5092960179 Enrollment ID: I20130220000417 |
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