Provider Demographics
NPI:1912064874
Name:CHIANG, GINGER YIN (MD)
Entity Type:Individual
Prefix:DR
First Name:GINGER
Middle Name:YIN
Last Name:CHIANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:YIN
Other - Middle Name:
Other - Last Name:JIANG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:6900 PECOS RD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89086-4400
Mailing Address - Country:US
Mailing Address - Phone:702-791-9000
Mailing Address - Fax:302-832-8897
Practice Address - Street 1:6900 N. PECOS RD
Practice Address - Street 2:DEPT. OF PM&R
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89086
Practice Address - Country:US
Practice Address - Phone:702-791-9000
Practice Address - Fax:702-224-6075
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2013-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-00067712081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1000024344Medicaid
DE9975856OtherCIGNA
DEP00152463OtherRAILROAD MEDICARE
DE1000022318OtherDELAWARE PHYSICIANS CARE
DE2152819000OtherAMERIHEALTH
DE386606954OtherBC AND BS
DE188310OtherCOVENTRY
DE3149215OtherAETNA-HMO
DE7187394OtherAETNA-PPO
DE2119934OtherMIAMSI-OPTIMUM CHOICE
DE2119934OtherMIAMSI-OPTIMUM CHOICE
DEP00152463OtherRAILROAD MEDICARE