Provider Demographics
NPI:1508949348
Name:VANG, JAMES NHIAKAO (DPM)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:NHIAKAO
Last Name:VANG
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:225 UNIVERSITY AVE W
Mailing Address - Street 2:STE 126
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55103-3907
Mailing Address - Country:US
Mailing Address - Phone:651-290-2000
Mailing Address - Fax:651-290-2000
Practice Address - Street 1:225 UNIVERSITY AVE W
Practice Address - Street 2:STE 126
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55103-3907
Practice Address - Country:US
Practice Address - Phone:651-290-2000
Practice Address - Fax:651-290-2121
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2019-03-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN656213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN149R4FOOtherBLUE CROSS BLUE SHIELD
MN423601029964OtherPREFERRED ONE
MN054942800Medicaid
MN79140OtherHEALTH PARTNERS
MN2700242OtherMEDICA
MN167471OtherUCARE