| Doctor Name: | CHARLES YANG |
| NPI Number: | 1679736706 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 243097 |
| Business Practice Address: | 327 Beach 19th St Far Rockaway, NY - 116914423 |
| Business Phone Number: | 9525951100 |
| Business Fax Number: | 6122944903 |
| Mailing Address: | 11995 Singletree Ln, Ste 500 EDEN PRAIRIE |
| State: | MN |
| Postal Code: | 553445347 |
| Phone Number: | 9525951301 |
| Fax Number: | 6122944903 |
| NPI Enumeration Date: | 07/09/2008 |
| NPI Last Update Date: | 06/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | 243097 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |