Individual
XINDA D WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3915 TALBOT RD S STE 300, RENTON, WA 98055-5738
(425) 690-3409
(425) 690-9004
Mailing address
9620 S 219TH PL, KENT, WA 98031-2484
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
MD00043315
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1016849
—
WA
05
—
8390676
—
WA
01
—
9026WA
REGENCE BLUE SHIELD RIDER
—
01
—
P00213596
RAILROAD MEDICARE
—
Enumeration date
03/14/2006
Last updated
09/22/2023
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