NPI 1427015809 · live from the CMS NPI Registry
Shou - Jiang Tang, MD
Internal Medicine, Gastroenterology in Jackson, MS. National Provider Identifier 1427015809, active.
NPI record
| NPI | 1427015809 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 2500 N State St, Jackson, MS 39216 |
| Practice phone | 601-984-4540 |
| Mailing address | 2500 N State St, Division Of Gastroenterology, Jackson, MS 39216 |
| Enumerated | April 28, 2006 |
| Last updated | August 12, 2014 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Gastroenterology | 207RG0100X | L9924 (TX) |
| Internal Medicine, Gastroenterology primary | 207RG0100X | 21274 (MS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.