SUSAN WANG M.D. NPI 1396977211

NPI Information

  • NPI: 1396977211
  • Provider Name: SUSAN WANG, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2825 OAK LAWN AVE UNIT 192749
    DALLAS, TX
    ZIP 75219
  • Phone: (510) 683-9500

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NPI Details

Susan Wang, M.D. is a diagnostic radiology radiology in Dallas, TX. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Susan Wang, M.D. NPI is 1396977211. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2825 OAK LAWN AVE UNIT 192749
DALLAS, TX
ZIP 75219-688
Phone: (510) 683-9500
Fax: (877) 880-2039

The NPI 1396977211 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/11/2009 and was last updated on 11/11/2024.

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
12085R0202XRadiologyDiagnostic RadiologyS3086TEXASNo
22085R0202XRadiologyDiagnostic Radiology65892CONNECTICUTNo
32085R0202XRadiologyDiagnostic RadiologyA115390CALIFORNIANo
42085R0202XRadiologyDiagnostic RadiologyMD61609899WASHINGTONYes

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: 3/30/2025

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