Healthcare Provider Details

I. General information

NPI: 1790399798
Provider Name (Legal Business Name): ENHUA WANG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2020
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 6TH AVE S FL 4
BIRMINGHAM AL
35233-2110
US

IV. Provider business mailing address

2000 6TH AVE S FL 4 GENERAL CARDIOLOGY CLINIC
BIRMINGHAM AL
35233-2110
US

V. Phone/Fax

Practice location:
  • Phone: 205-934-3624
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberANDREA504
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number4351047290
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberMT229698
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: