DR. JAMES WAN MD NPI 1528017068

NPI Information

NPI: 1528017068
Provider Name: DR. JAMES WAN, MD
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

Address:
771 OLD NORCROSS RD
SUITE 340
LAWRENCEVILLE, GA
ZIP 30046
Phone: (678) 376-7399
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DR. James Wan, MD is a vascular surgery surgery in Lawrenceville, GA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. DR. James Wan, MD NPI is 1528017068. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

771 OLD NORCROSS RD
SUITE 340
LAWRENCEVILLE, GA
ZIP 30046-386
Phone: (678) 376-7399
Fax: (678) 376-7398

The enumeration date for this NPI number is 5/10/2006 and was last updated on 3/17/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	202K00000X	Phlebology		058878	GEORGIA	No
2	207P00000X	Emergency Medicine		23068	ALABAMA	No
3	207R00000X	Internal Medicine		058878	GEORGIA	No
4	2086S0129X	Surgery	Vascular Surgery	058878	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	003188705B	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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