Provider Demographics
NPI:1063403426
Name:CHUANG, WUU-SHUNG (MD)
Entity type:Individual
Prefix:DR
First Name:WUU-SHUNG
Middle Name:
Last Name:CHUANG
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 1:224 W LORAIN ST
Mailing Address - Street 2:STE A
Mailing Address - City:OBERLIN
Mailing Address - State:OH
Mailing Address - Zip Code:44074-1096
Mailing Address - Country:US
Mailing Address - Phone:440-774-5248
Mailing Address - Fax:440-774-6006
Practice Address - Street 1:224 W LORAIN ST
Practice Address - Street 2:STE A
Practice Address - City:OBERLIN
Practice Address - State:OH
Practice Address - Zip Code:44074-1096
Practice Address - Country:US
Practice Address - Phone:440-774-5248
Practice Address - Fax:440-774-6006
Is Sole Proprietor?:No
Enumeration Date:2005-11-03
Last Update Date:2009-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35100090C207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0351622Medicaid
OHCH0443493Medicare ID - Type Unspecified
OH0351622Medicaid