CHIANG, JING-TZYH ALAN (MD)

Provider Demographics

• NPI: 1780883835
• Name: CHIANG, JING-TZYH ALAN (MD)
• Entity type: Individual
• First Name: JING-TZYH
• Middle Name: ALAN
• Last Name: CHIANG
• Gender: M
• Credentials: MD
• Mailing Address - Street 1: 10700 E GEDDES AVE STE 200
• Mailing Address - City: ENGLEWOOD
• Mailing Address - State: CO
• Mailing Address - Zip Code: 80112-3861
• Mailing Address - Country: US
• Mailing Address - Phone: 303-761-9190
• Mailing Address - Fax: 720-874-4462
• Practice Address - Street 1: 10700 E GEDDES AVE STE 200
• Practice Address - City: ENGLEWOOD
• Practice Address - State: CO
• Practice Address - Zip Code: 80112-3861
• Practice Address - Country: US
• Practice Address - Phone: 303-761-9190
• Practice Address - Fax: 720-874-4462
• Is Sole Proprietor?: No
• Enumeration Date: 2007-07-17
• Last Update Date: 2017-04-07

Provider Licenses

State	License ID	Taxonomies
HI	MD18394	2085R0202X
CA	A110622	2085R0202X
CO	53610	2085R0202X
NE	27901	2085R0202X
KS	04-37256	2085R0202X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization
Yes	2085R0202X	Allopathic & Osteopathic Physicians	Radiology	Diagnostic Radiology

Provider Identifiers

State	Identifier ID	ID Type	Issuer
AZ	942933	Medicaid
IA	1780883835	Medicaid
MT	1780883835	Medicaid
UT	1780883835	Medicaid
KS	201101030A	Medicaid
NE	10026277300	Medicaid
NE	10026277600	Medicaid
NE	10026277800	Medicaid
OK	200551150A	Medicaid
NM	69157561	Medicaid
NE	10025709000	Medicaid
NE	10026277500	Medicaid
WY	1780883835	Medicaid
CO	61788261	Medicaid
NE	10026277700	Medicaid
NE	10026277400	Medicaid
HI	H107290	Medicare PIN
CO	376710ZLJ3	Medicare PIN
CO	376710YQPG	Medicare PIN
NE	NA2517066	Medicare PIN
NE	10026277500	Medicaid
NE	10026277600	Medicaid
CO	376710YQ33	Medicare PIN
CO	P01434505	Medicare PIN
NE	10026277800	Medicaid
NE	10026277400	Medicaid
WY	1780883835	Medicaid
HI	H107291	Medicare PIN
KS	KA3249067	Medicare PIN
KS	201101030A	Medicaid
OK	200551150A	Medicaid
MT	1780883835	Medicaid
KS	111257081	Medicare PIN