LI WANG, MD - NPI NUMBER 1861648487

Summary

Provider Name: LI WANG, MD

NPI Number: 1861648487

Clasification: Family Medicine (207Q00000X)

Organization: MULTICARE HEALTH SYSTEM

Address:
225 176TH ST S
SPANAWAY, WA
ZIP 98387

Phone Number: (253) 459-7777



Detailed Information

Li Wang, MD is a family physician in Spanaway, WA with 19 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. The assigned NPI number for this provider is 1861648487 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business address is:

225 176TH ST S
SPANAWAY, WA
ZIP 98387-201
Phone: (253) 459-7777

The enumeration date for this NPI number is 8/14/2008 and was last updated on 10/31/2011.

Map - Location of Practice

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Taxonomy Codes

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 207Q00000X Family Medicine 4301093329 MI No
2 207Q00000X Family Medicine MD60226723 WA Yes

NPI Record

No. Field Name Field Value
1 NPI 1861648487
2 Entity Type Code 1
3 Provider Last Name Legal Name WANG
4 Provider First Name LI
5 Provider Credential Text MD
6 Provider First Line Business Practice Location Address 225 176TH ST S
7 Provider Business Practice Location Address City Name SPANAWAY
8 Provider Business Practice Location Address State Name WA
9 Provider Business Practice Location Address Postal Code 983879201
10 Provider Business Practice Location Address Country Code If outside U S US
11 Provider Business Practice Location Address Telephone Number 2534597777
12 Provider Enumeration Date 8/14/2008
13 Last Update Date 10/31/2011
14 Provider Gender Code F
15 Healthcare Provider Taxonomy Code 1 207Q00000X
16 Provider License Number 1 4301093329
17 Provider License Number State Code 1 MI
18 Healthcare Provider Primary Taxonomy Switch 1 N
19 Healthcare Provider Taxonomy Code 2 207Q00000X
20 Provider License Number 2 MD60226723
21 Provider License Number State Code 2 WA
22 Healthcare Provider Primary Taxonomy Switch 2 Y
23 Is Sole Proprietor N

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This page was last updated on: 10/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.