Healthcare Provider Details

I. General information

NPI: 1396723193
Provider Name (Legal Business Name): WILLIAM CHUANG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/03/2006
Last Update Date: 11/15/2022
Certification Date: 11/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6400 BROOKTREE CT STE 350
WEXFORD PA
15090-9271
US

IV. Provider business mailing address

6400 BROOKTREE CT STE 350
WEXFORD PA
15090-9271
US

V. Phone/Fax

Practice location:
  • Phone: 412-230-8200
  • Fax: 412-230-8215
Mailing address:
  • Phone: 412-230-8200
  • Fax: 412-230-8215

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085N0700X
TaxonomyNeuroradiology Physician
License Number0101263765
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number41155
License Number StateMN
# 3
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number35.123224
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number4301113516
License Number StateMI
# 5
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number47737
License Number StateKY
# 6
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number207195
License Number StateNY
# 7
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number01074612A
License Number StateIN
# 8
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberMD418366
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier0019171820002
Identifier TypeMEDICAID
Identifier StatePA
Identifier Issuer
# 2
Identifier2746719
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerHIGHMARK BCBS
# 3
IdentifierP01206170
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerRAILROAD MEDICARE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: