Provider Demographics
NPI:1295996486
Name:YANG, CHRISTINA JANE (MD)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:JANE
Last Name:YANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1430 TULANE AVE
Mailing Address - Street 2:SL59
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70112-2699
Mailing Address - Country:US
Mailing Address - Phone:504-988-5453
Mailing Address - Fax:504-988-7846
Practice Address - Street 1:1430 TULANE AVE
Practice Address - Street 2:SL59
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-2699
Practice Address - Country:US
Practice Address - Phone:504-988-5453
Practice Address - Fax:504-988-7846
Is Sole Proprietor?:No
Enumeration Date:2008-06-19
Last Update Date:2008-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPGY.1.TUL-OTOL207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1118869Medicaid