Individual
WENDONG JIANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(888) 484-3258
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
(317) 963-4171
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10000481A
IN
363AM0700X
Medical Physician Assistant
10000481A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000506740
BC/BS PIN
IN
01
—
000000675323
ANTHEM PTAN
IN
01
—
000001305107
ANTHEM PTAN
IN
01
—
000001482206
ANTHEM PTAN
IN
05
—
200856130
—
IN
01
—
DF5450
RAILROAD GROUP
—
Enumeration date
05/20/2006
Last updated
10/15/2025
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