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Individual

DR. JIANGMING XU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3200 SYCAMORE CT STE 1B, COLUMBUS, IN 47203-1545
(812) 378-9027
(812) 378-1014
Mailing address
3200 SYCAMORE CT STE 1B, COLUMBUS, IN 47203-1545
(812) 378-9027
(812) 378-1014

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01057494
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000315511
ANTHEM PROV #
IN
05
200422330
IN
Enumeration date
08/30/2006
Last updated
10/30/2017
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