Individual
ZHIYUN YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1501 KINGS HWY, DEPARTMENT OF RADIOLOGY, SHREVEPORT, LA 71103-4228
(318) 675-6252
(318) 675-5666
Mailing address
1512 W KIRBY PL, SHREVEPORT, LA 71103-3822
(318) 675-7636
(318) 675-5666
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
Primary
200322
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1628808
—
LA
01
—
4J946F600
MEDICARE - PTAN
LA
Enumeration date
07/15/2006
Last updated
08/01/2011
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