Chiang, Mike Syru

Chiang, Mike Syru is an sole proprietor health care provider with primary practice located at 3294 North Oak Street Ext. , Valdosta GA 31605. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Chiang, Mike Syru can be contacted via phone (229) 241-1188.

Contact Information

Primary practice address
3294 North Oak Street Ext. Valdosta GA 31605
Phone: (229) 241-1188
Fax: (229) 245-7106
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 018627 Georgia

Profile Details

NPI number 1720063100
LBN Legal business name Chiang, Mike Syru
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 8th, 2005
Last updated Mar 9th, 2012 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1720063100 NPPES
Georgia Other 340005901 MEDICARE RAILROAD
Georgia MEDICAID 000244791B MEDICARE RAILROAD

Popular Providers