MEDICARE: HUIYING WANG M.D.

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	207ZP0213X	Pediatric Pathology Physician	57507	TN
2	207ZP0213X	Pediatric Pathology Physician	A134861	CA
3	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	57507	TN
4	174400000X	Specialist	#134861	CA

General Provider Information

NPI Number	:	1033475066
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HUIYING WANG M.D.

Provider Business Mailing Address
First Line	:	3841 GREEN HILLS VILLAGE DR STE 200
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37215-2691
Country	:	US
Telephone Number	:	466-276-0736
Fax Number	:

Provider Business Practice Location Address
First Line	:	VANDERBILT MEDICAL CENTER C-3321 MEDICAL CENTER NORTH
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37232
Country	:	US
Telephone Number	:	615-322-3000
Fax Number	:

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

Provider Enumeration Date	:	04/03/2012
Last Update Date	:	05/23/2024

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