Provider Demographics
NPI:1639756786
Name:DU, JING HAO (MD)
Entity type:Individual
Prefix:
First Name:JING HAO
Middle Name:
Last Name:DU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1431 SW 1ST AVE # BITZER7
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-6500
Mailing Address - Country:US
Mailing Address - Phone:352-401-8311
Mailing Address - Fax:352-401-8313
Practice Address - Street 1:5517 7TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-3597
Practice Address - Country:US
Practice Address - Phone:718-871-8255
Practice Address - Fax:929-226-6008
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-25
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
390200000X
NY330818207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program