Provider Demographics
NPI:1235105446
Name:TING, WILLIAM WEI-MING (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:WEI-MING
Last Name:TING
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 1:2262 CAMINO RAMON
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-1353
Mailing Address - Country:US
Mailing Address - Phone:925-328-0255
Mailing Address - Fax:925-328-0257
Practice Address - Street 1:2262 CAMINO RAMON
Practice Address - Street 2:
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-1353
Practice Address - Country:US
Practice Address - Phone:925-328-0255
Practice Address - Fax:925-328-0257
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2020-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA82266207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A822660OtherBLUE SHIELD PROV #
CA00A82266Medicaid
CA00A82266Medicaid
CA00A822660OtherBLUE SHIELD PROV #
H81729Medicare UPIN