Provider Demographics
NPI:1013907989
Name:CHIANG, MING HUEI PHILLIP (MD)
Entity Type:Individual
Prefix:DR
First Name:MING HUEI
Middle Name:PHILLIP
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 1:36001 EUCLID AVE
Mailing Address - Street 2:B4
Mailing Address - City:WILLOUGHBY
Mailing Address - State:OH
Mailing Address - Zip Code:44094-4643
Mailing Address - Country:US
Mailing Address - Phone:440-946-5151
Mailing Address - Fax:440-946-8841
Practice Address - Street 1:36001 EUCLID AVE
Practice Address - Street 2:B4
Practice Address - City:WILLOUGHBY
Practice Address - State:OH
Practice Address - Zip Code:44094-4643
Practice Address - Country:US
Practice Address - Phone:440-946-5151
Practice Address - Fax:440-946-8841
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-24
Last Update Date:2007-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-038433C207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0605518Medicaid
OH0605518Medicaid
B95446Medicare UPIN