Individual
JINGYA WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4950 ESSEN LN, BATON ROUGE, LA 70809-3738
(225) 767-0847
(225) 766-0218
Mailing address
4950 ESSEN LN, BATON ROUGE, LA 70809-3738
(225) 767-0847
(225) 766-0218
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
207864
LA
390200000X
Student in an Organized Health Care Education/Training Program
BP20040744
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2393481
—
LA
Enumeration date
04/06/2009
Last updated
07/31/2015
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