Healthcare Provider Details

I. General information

NPI: 1700529773
Provider Name (Legal Business Name): YANGYANG WANG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/18/2022
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 S HOKE AVE
FRANKFORT IN
46041-2664
US

IV. Provider business mailing address

550 S HOKE AVE
FRANKFORT IN
46041-2664
US

V. Phone/Fax

Practice location:
  • Phone: 765-448-8000
  • Fax:
Mailing address:
  • Phone: 765-448-8100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number01095649A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: