Provider Demographics
NPI:1912967092
Name:LIANG, JAMES T
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:T
Last Name:LIANG
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:TSUNG
Other - Middle Name:
Other - Last Name:LIANG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5500 RIDGE RD
Mailing Address - Street 2:#220
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44129-2394
Mailing Address - Country:US
Mailing Address - Phone:440-842-7447
Mailing Address - Fax:440-842-7484
Practice Address - Street 1:5500 RIDGE RD
Practice Address - Street 2:#220
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44129-2394
Practice Address - Country:US
Practice Address - Phone:440-842-7447
Practice Address - Fax:440-842-7484
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH039659208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics