DR. YUBAO WANG


Address: 715 Dr Martin Luther King Jr Ave Ne Ste 102, Albuquerque, NM 87102-3666
Phone: 5057273040

DR. YUBAO WANG (NPI# 1306942644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306942644
Entity Type Individual
Full Name DR. YUBAO WANG
Credential M.D.
Practice Address 715 Dr Martin Luther King Jr Ave Ne Ste 102
Albuquerque
NM 87102-3666
Practice Telephone 5057273040
Practice Fax Number 5057279590
Mailing Telephone 5057273040
Mailing Fax Number 5057279590
Enumeration Date 2006-09-15
Last Update Date 2020-05-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine 2006004166 MO Allopathic & Osteopathic Physicians
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
MD2017-0211 NM Allopathic & Osteopathic Physicians
N 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
268689 NY Allopathic & Osteopathic Physicians
N 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
M5569 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY UNIVERA 1306942644 01
NM 5908574 05
NY 03641018 05
NY BSWNY 000535508001 01
TX 195626001 05
NY INDEPENDENT HEALTH 2717438 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
45 Spindrift Dr, Suite 100, Williamsville, NY 142217889 7165650355 7165659401

Office Location

Street Address 715 DR MARTIN LUTHER KING JR AVE NE STE 102
City ALBUQUERQUE
State NM
Zip Code 87102-3666

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851801062 Quest Diagnostics Clinical Laboratories Inc Clinical Medical Laboratory 715 Dr Martin Luther King Jr Ave Ne Ste 102, Albuquerque, NM 87102-3666 2017-10-03
1184980989 Paul Allen Brittain Internal Medicine 715 Dr Martin Luther King Jr Ave Ne Ste 102, Albuquerque, NM 87102 2012-04-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407454937 Julie Wood Acupuncturist 1600 Luna Circle Nw, Albuquerque, NM 87102 2020-10-16
1770121410 Emily Perez Counselor 218 Broadway Ne, Albuquerque, NM 87102 2019-12-12
1417503392 Tess Holtry Behavior Technician 1424 Walter St Nw, Albuquerque, NM 87102 2019-08-15
1942867486 Christy E Cheromiah Behavioral Analyst Open Skies Helathcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 2019-05-21
1730744103 Faith Petra Maxwell Behavior Technician 900 Arno St, Albuquerque, NM 87102 2019-05-01
1568923761 Storm Swinford Behavioral Analyst Open Skies Healthcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 2019-03-29
1093276651 Tina Marie Trujillo Behavioral Analyst Open Skies Health Care, 707 Broadway Blvd Ne, Albuquerque, NM 87102 2019-03-27
1861950370 Meghan Montoya Student in an Organized Health Care Education/Training Program 801 Camino De Salud, Albuquerque, NM 87102 2019-03-05
1174099329 Dilshani N Tyson Counselor 600 1st Street Nw Ste 200, Albuquerque, NM 87102 2018-10-15
1962987925 Tania L Goldfeder Social Worker New Mexico Solutions, 707 Broadway Ne Suite 500, Albuquerque, NM 87102 2018-09-26
Find all providers in zip 87102

Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033435490 Heloisa Prado Soares Internal Medicine Msc07 4025 1 University of Nm, Albuquerque, NM 87131-9416 2010-04-10
1487743092 Wadih Arap Internal Medicine 1 University of New Mexico Msc 07 4025, 1201 Camino De Salud, Albuquerque, NM 87131-0001 2006-10-12
1114990298 Murray M Bern Internal Medicine Unm Cancer Ctr, Msc 07-4025 1201 Camino De Salud, Albuquerque, NM 87131-0001 2006-02-09
1073506531 Kenneth J Smith Internal Medicine 8300 Constitution Ave. Ne, Presbyterian Oncology Kaseman Hospital, Albuquerque, NM 87110-7613 2005-08-30
1114920238 Douglas A. Clark Internal Medicine 4901 Lang Ave Ne, Albuquerque, NM 87109-4397 2005-05-23
1790183135 Lovelace Health System, LLC Internal Medicine 715 Dr Martin Luther King Jr Ave Ne, Suite 102, Albuquerque, NM 87102-3661 2014-12-17
1235579632 Gautam Kishore Valecha Internal Medicine 8300 Constitution Ave Ne, Albuquerque, NM 87110-7613 2013-06-28
1326393380 Neda Hashemi Sadraei Internal Medicine 1 University of New Mexico, Albuquerque, NM 87131 2012-07-16
1184980989 Paul Allen Brittain Internal Medicine 715 Dr Martin Luther King Jr Ave Ne Ste 102, Albuquerque, NM 87102 2012-04-05
1972824084 Emrullah Yilmaz Internal Medicine 933 Bradbury Dr Se, Suite 2222, Albuquerque, NM 87106-4374 2010-06-14
Find all providers in ALBUQUERQUE

Competitor

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City ALBUQUERQUE
Zip Code 87102

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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