Basic Information
Provider Information
NPI: 1528151990
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TSIEN
FirstName: CHRISTINA
MiddleName: IRENE
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 9910 FRANKLIN SQUARE DR STE 2110
Address2:  
City: BALTIMORE
State: MD
PostalCode: 212364902
CountryCode: US
TelephoneNumber: 4109336423
FaxNumber:  
Practice Location
Address1: 5255 LOUGHBORO RD NW BLDG A1
Address2:  
City: WASHINGTON
State: DC
PostalCode: 200162633
CountryCode: US
TelephoneNumber: 3147477236
FaxNumber: 3147479557
Other Information
ProviderEnumerationDate: 09/30/2006
LastUpdateDate: 11/08/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085R0001X2014038012MON Allopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
2085R0001XD88476MDY Allopathic & Osteopathic PhysiciansRadiologyRadiation Oncology

ID Information
IDTypeStateIssuerDescription
ENROLLED05IL MEDICAID


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