Provider Demographics
NPI:1780883835
Name:CHIANG, JING-TZYH ALAN (MD)
Entity type:Individual
Prefix:
First Name:JING-TZYH
Middle Name:ALAN
Last Name:CHIANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1625 N CAMPBELL AVE
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85719-4330
Mailing Address - Country:US
Mailing Address - Phone:520-694-0111
Mailing Address - Fax:
Practice Address - Street 1:4291 N CAMPBELL AVE
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85719-1117
Practice Address - Country:US
Practice Address - Phone:520-694-9640
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-17
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD183942085R0202X
CAA1106222085R0202X
AZ620162085R0202X
NE279012085R0202X
KS04-372562085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10026277600Medicaid
NE10026277700Medicaid
CO61788261Medicaid
AZ942933Medicaid
NE10026277800Medicaid
IA1780883835Medicaid
NE10025709000Medicaid
UT1780883835Medicaid
NE10026277500Medicaid
MT1780883835Medicaid
KS201101030AMedicaid
NE10026277300Medicaid
WY1780883835Medicaid
NE10026277400Medicaid
OK200551150AMedicaid
NM69157561Medicaid
HIH107290Medicare PIN
CO376710ZLJ3Medicare PIN
CO376710YQPGMedicare PIN
NENA2517066Medicare PIN
NE10026277500Medicaid
NE10026277600Medicaid
CO376710YQ33Medicare PIN
COP01434505Medicare PIN
NE10026277800Medicaid
NE10026277400Medicaid
WY1780883835Medicaid
HIH107291Medicare PIN
KSKA3249067Medicare PIN
KS201101030AMedicaid
OK200551150AMedicaid
MT1780883835Medicaid
KS111257081Medicare PIN