Provider Demographics
NPI:1104680065
Name:WANG, CATHERINE KE (MD)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:KE
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 1:3042 LOUVIGNY STREET
Mailing Address - Street 2:
Mailing Address - City:QUEBEC
Mailing Address - State:QUEBEC
Mailing Address - Zip Code:G1W1B1
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:622 WEST 168TH STREET DEPARTMENT OF RADIOLOGY
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032
Practice Address - Country:US
Practice Address - Phone:212-305-4928
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-12
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program