Individual
DR. SHAO JIANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-1625
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-1625
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
04-33714
KS
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
2009005090
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101074960
—
PA
Enumeration date
03/07/2006
Last updated
06/30/2009
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