Provider Demographics
NPI:1245048859
Name:LANG, SHIEWAY
Entity type:Individual
Prefix:MR
First Name:SHIEWAY
Middle Name:
Last Name:LANG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:WAYNE
Other - Middle Name:
Other - Last Name:LANG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:320 130TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-3630
Mailing Address - Country:US
Mailing Address - Phone:929-453-7810
Mailing Address - Fax:
Practice Address - Street 1:320 130TH AVE SE
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-3630
Practice Address - Country:US
Practice Address - Phone:929-453-7810
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-28
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter