Bao, Jianxiong Richard
Bao, Jianxiong Richard is an individual health care provider with primary practice located at 1700 N Desert Dr , Tempe AZ 85281-1228. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, Allopathic & Osteopathic Physicians / Cytopathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Bao, Jianxiong Richard can be contacted via phone (602) 424-1580.Contact Information
Primary practice address
1700 N Desert Dr
Tempe AZ 85281-1228
Phone: (602) 424-1580
Fax: (602) 443-6102
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | 200576 | Louisiana |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 074907 | Georgia |
| Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine | 207ZP0105X | 200576 | Louisiana |
| Allopathic & Osteopathic Physicians / Cytopathology | 207ZC0500X | 200576 | Louisiana |
Profile Details
| NPI number | 1548294465 |
|---|---|
| LBN Legal business name | Bao, Jianxiong Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Feb 1st, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548294465 | NPPES |
| Louisiana | MEDICAID | 1316466 |
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