MEDICARE: DR. JAMES Y 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	207R00000X	Internal Medicine Physician	D0054689	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801890884
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES Y WANG M.D.

Provider Business Mailing Address
First Line	:	14999 HEALTH CENTER DR
Second Line	:	STE 201
City	:	BOWIE
State	:	MD
Zip	:	20716-1087
Country	:	US
Telephone Number	:	301-262-8188
Fax Number	:	301-464-8233

Provider Business Practice Location Address
First Line	:	14999 HEALTH CENTER DR
Second Line	:	STE 201
City	:	BOWIE
State	:	MD
Zip	:	20716-1087
Country	:	US
Telephone Number	:	301-262-8188
Fax Number	:	301-464-8233

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

Provider Enumeration Date	:	06/08/2005
Last Update Date	:	12/16/2009

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Directions to “ DR. JAMES Y WANG M.D.” Practice Location

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