Wan, Xiaoying

Wan, Xiaoying is an individual health care provider with primary practice located at 2200 Randallia Dr , Ft Wayne IN 46805-4638. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Wan, Xiaoying can be contacted via phone (800) 899-5757.

Contact Information

Primary practice address
2200 Randallia Dr Ft Wayne IN 46805-4638
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 01055964A Indiana

Profile Details

NPI number 1811971369
LBN Legal business name Wan, Xiaoying
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2005
Last updated May 3rd, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811971369 NPPES
Indiana MEDICAID 200381250

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