Provider Demographics
NPI:1740976661
Name:DING, JACK BAICHAO (MBBS)
Entity type:Individual
Prefix:DR
First Name:JACK
Middle Name:BAICHAO
Last Name:DING
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:MR
Other - First Name:BAICHAO
Other - Middle Name:
Other - Last Name:DING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:110 IRVING ST.
Mailing Address - Street 2:MEDSTAR WASHINGTON HOSPITAL CENTER, NW DEPT OF INTERNAL
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010
Mailing Address - Country:US
Mailing Address - Phone:202-877-2835
Mailing Address - Fax:202-877-8288
Practice Address - Street 1:110 IRVING ST.
Practice Address - Street 2:MEDSTAR WASHINGTON HOSPITAL CENTER, NW DEPT OF INTERNAL
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010
Practice Address - Country:US
Practice Address - Phone:202-877-2835
Practice Address - Fax:202-877-8288
Is Sole Proprietor?:No
Enumeration Date:2023-04-13
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program