Provider Demographics
NPI:1235589219
Name:BAO, JING (MD)
Entity Type:Individual
Prefix:
First Name:JING
Middle Name:
Last Name:BAO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:181 (16) LINYI ROAD
Mailing Address - Street 2:APT 401
Mailing Address - City:SHANGHAI
Mailing Address - State:SHANGHAI
Mailing Address - Zip Code:200125
Mailing Address - Country:CN
Mailing Address - Phone:861356-440-7184
Mailing Address - Fax:
Practice Address - Street 1:181 (16) LINYI ROAD
Practice Address - Street 2:APT 401
Practice Address - City:SHANGHAI
Practice Address - State:SHANGHAI
Practice Address - Zip Code:200125
Practice Address - Country:CN
Practice Address - Phone:861356-440-7184
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-21
Last Update Date:2016-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program