MEDICARE: ZHIYAN WANG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1881493195
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZHIYAN WANG

Provider Business Mailing Address
First Line	:	2507 W 68TH ST
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74132-1721
Country	:	US
Telephone Number	:	918-210-7956
Fax Number	:

Provider Business Practice Location Address
First Line	:	3150 E 41ST ST STE 112
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74105-3758
Country	:	US
Telephone Number	:	918-949-4430
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/10/2025
Last Update Date	:	03/10/2025

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Directions to “ ZHIYAN WANG ” Practice Location

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