Provider Demographics
NPI:1801107842
Name:WANG-WEINMAN, TING A (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:TING
Middle Name:A
Last Name:WANG-WEINMAN
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:DR
Other - First Name:TING
Other - Middle Name:
Other - Last Name:WANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2410 W 70TH TER
Mailing Address - Street 2:
Mailing Address - City:MISSION HILLS
Mailing Address - State:KS
Mailing Address - Zip Code:66208-2740
Mailing Address - Country:US
Mailing Address - Phone:913-972-1601
Mailing Address - Fax:913-588-8300
Practice Address - Street 1:3901 RAINBOW BLVD
Practice Address - Street 2:MS 2025
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66103-2937
Practice Address - Country:US
Practice Address - Phone:913-588-3840
Practice Address - Fax:913-588-8300
Is Sole Proprietor?:No
Enumeration Date:2010-06-24
Last Update Date:2015-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS9407456207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine