Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 65425 | CT |
N | 111NI0900X | Internist | 65425 | CT |
Y | 207R00000X | Internist | D91548 | MD |
Y | 111NI0900X | Internist | D91548 | MD |
NPI | 1003343104 |
---|---|
Provider Name | Dr. Jana Christian |
First Address | Baltimore, MD 21220-2004 |
Second Address | Baltimore, MD 21287 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2017 |
Last Update Date | 02/08/2021 |