Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | BP1-0036666 | TX |
N | 111NI0900X | Internist | BP1-0036666 | TX |
Y | 207RH0000X | Hematologist | 35128151 | OH |
NPI | 1407172232 |
---|---|
Provider Name | Dr. Meixiao Long |
First Address | Columbus, OH 43210-1240 |
Second Address | Columbus, OH 43210-1240 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2010 |
Last Update Date | 28/04/2016 |