Individual
TISHA SHIH-YUN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A86107
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A86107
CA
207RP1001X
Pulmonary Disease Physician
A86107
CA
207RP1001X
Pulmonary Disease Physician
Primary
MD.MD.70089911
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A861070
—
CA
01
—
1164607461
CCS PANELED
CA
01
—
A86107
MEDICAL LICENSE
CA
Enumeration date
01/04/2008
Last updated
04/28/2026
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