Provider Demographics
NPI:1205839099
Name:LEUNG, WING-HANG (MD)
Entity Type:Individual
Prefix:DR
First Name:WING-HANG
Middle Name:
Last Name:LEUNG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:262 DANNY THOMAS PL
Mailing Address - Street 2:MS 515
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38105-3678
Mailing Address - Country:US
Mailing Address - Phone:901-595-3006
Mailing Address - Fax:901-595-3842
Practice Address - Street 1:262 DANNY THOMAS PL
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38105-3678
Practice Address - Country:US
Practice Address - Phone:901-595-3006
Practice Address - Fax:901-595-3842
Is Sole Proprietor?:No
Enumeration Date:2005-05-24
Last Update Date:2012-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN314102080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00121187Medicaid
KY64713399Medicaid
LA1562653Medicaid
MO205028400Medicaid
TN3897924Medicaid
OK100005350AMedicaid
AR137622001Medicaid
OR274922Medicaid
NE100249681-00Medicaid
IN200247170AMedicaid
KS200362520AMedicaid
NC7613016Medicaid
IA0528810Medicaid
MI104802043Medicaid
AL009912880Medicaid
AZ564981Medicaid
SCQ31410Medicaid
ME422400000Medicaid
NC7613016Medicaid