Provider Demographics
NPI:1952523037
Name:WANG, XIANG (MD)
Entity type:Individual
Prefix:
First Name:XIANG
Middle Name:
Last Name:WANG
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:PO BOX 7200
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27804-0200
Mailing Address - Country:US
Mailing Address - Phone:252-937-0200
Mailing Address - Fax:252-451-0056
Practice Address - Street 1:901 N WINSTEAD AVE
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27804-8467
Practice Address - Country:US
Practice Address - Phone:252-937-0249
Practice Address - Fax:252-937-3110
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2015-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH57.010624207R00000X
NC2011-00797207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2869285Medicaid
NC9452163OtherCIGNA
NC241239OtherMEDCOST
NC5917508Medicaid
NC3324551OtherUNITED HEALTH CARE
NC9106193OtherAETNA
NC1639ROtherBCBSNC
OH4249132Medicare PIN
NC1639ROtherBCBSNC
NCNC0766Medicare PIN