Provider Demographics
NPI:1730126921
Name:WANG, HELEN C (MD)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:C
Last Name:WANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12750 HORSEFERRY RD STE 100
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-7265
Mailing Address - Country:US
Mailing Address - Phone:317-795-0707
Mailing Address - Fax:317-564-4438
Practice Address - Street 1:12750 HORSEFERRY RD STE 100
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-7265
Practice Address - Country:US
Practice Address - Phone:317-795-0707
Practice Address - Fax:317-564-4438
Is Sole Proprietor?:No
Enumeration Date:2006-05-31
Last Update Date:2019-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD423851207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA101554679Medicaid
PA101554679Medicaid