Provider Demographics
NPI:1922237130
Name:HUANG, JI (MD)
Entity Type:Individual
Prefix:DR
First Name:JI
Middle Name:
Last Name:HUANG
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 1:224 S WOODS MILL RD STE 370S
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-3603
Mailing Address - Country:US
Mailing Address - Phone:314-878-2460
Mailing Address - Fax:314-878-2467
Practice Address - Street 1:224 S WOODS MILL RD STE 370S
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-3603
Practice Address - Country:US
Practice Address - Phone:314-878-2460
Practice Address - Fax:314-878-2467
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-09
Last Update Date:2020-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2012035760207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine