Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jaehoon Bang, MD

Individual provider Diagnostic Radiology Physician · NPI 1073856852

Jaehoon Bang, MD is a Diagnostic Radiology in Lakeland, Florida. Qualified in 2013, 13 years ago. Practices with Connecticut Imaging Partners LLC, a 107-clinician group and accepts Medicare assignment. Licensed in Florida and New Jersey.

Years since qualifying
13
Licensed in
FL, NJ
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1600 Lakeland Hills Blvd
Lakeland, FL 33805-3019
Phone: (863) 680-7000
Fax: (866) 264-8519
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence ME136674 (FL)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 25MA10550900 (NJ)

Record details

NPI number1073856852
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 31, 2013
Last updated in NPPESNovember 20, 2024
Certification dateNovember 20, 2024
Mailing address2623 Meander Cv, Wesley Chapel, FL 33543-7092

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Connecticut Imaging Partners Llc — 107 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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