DR. JONATHAN XINGUO FANG MBBS NPI 1407598857

NPI Information

NPI: 1407598857
Provider Name: DR. JONATHAN XINGUO FANG, MBBS
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual

PECOS Registration: Yes

Address:
75 FRANCIS ST
BOSTON, MA
ZIP 02115
Phone: (617) 821-8230
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DR. Jonathan Xinguo Fang, MBBS is a student in an organized health care education training program in Boston, MA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Jonathan Xinguo Fang, MBBS NPI is 1407598857. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

75 FRANCIS ST
BOSTON, MA
ZIP 02115-106
Phone: (617) 821-8230

The NPI 1407598857 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 4/7/2022 and was last updated on 9/6/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RI0011X	Internal Medicine	Interventional Cardiology	PENDING	MASSACHUSETTS	No
2	390200000X	Student in an Organized Health Care Education/Training Program		294223	MASSACHUSETTS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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