Provider Demographics
NPI:1750711727
Name:JIANG, HAIBING (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:HAIBING
Middle Name:
Last Name:JIANG
Suffix:
Gender:
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6350 STEVENS FOREST RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21046-3231
Mailing Address - Country:US
Mailing Address - Phone:443-259-3770
Mailing Address - Fax:410-367-2175
Practice Address - Street 1:6350 STEVENS FOREST RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046-3231
Practice Address - Country:US
Practice Address - Phone:443-259-3770
Practice Address - Fax:410-367-2175
Is Sole Proprietor?:No
Enumeration Date:2013-11-12
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0077820207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine