MEDICARE: EVELYN A. WANG MD

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	207K00000X	Allergy & Immunology Physician	DR.0062027	CO

General Provider Information

NPI Number	:	1457715823
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EVELYN A. WANG MD

Provider Business Mailing Address
First Line	:	9331 S COLORADO BLVD STE 100
Second Line	:
City	:	HIGHLANDS RANCH
State	:	CO
Zip	:	80126-7465
Country	:	US
Telephone Number	:	303-795-8177
Fax Number	:

Provider Business Practice Location Address
First Line	:	9331 S COLORADO BLVD STE 100
Second Line	:
City	:	HIGHLANDS RANCH
State	:	CO
Zip	:	80126-7465
Country	:	US
Telephone Number	:	303-795-8177
Fax Number	:

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

Provider Enumeration Date	:	04/11/2016
Last Update Date	:	01/23/2025

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