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General NPI Number Information
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NPI Number | 1982090874
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Entity Type | Individual
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Provider Name | WEI WANG M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/08/2015
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Last Update Date | 02/16/2017
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Provider Practice Location Address
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Address Line | 301 E MUHAMMAD ALI BLVD
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City | LOUISVILLE
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State | KY
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Zip | 40202-1511
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Country | US
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Telephone | 502-298-0796
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 909
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City | LOUISVILLE
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State | KY
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Zip | 40201-0909
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | FT544
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | FL049
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License Number State | KY
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