Individual
WEI HAN FANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22 S GREENE ST, DEPT OF RADIOLOGY, BALTIMORE, MD 21201-1544
(410) 328-3477
Mailing address
22 S GREENE ST, DEPT OF RADIOLOGY, BALTIMORE, MD 21201-1544
(410) 328-3477
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
D0074627
MD
2085R0202X
Diagnostic Radiology Physician
MD205374
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019522109
—
DC
05
—
058630700
—
MD
05
—
500800559
—
OR
Enumeration date
05/10/2007
Last updated
11/26/2024
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