Provider Demographics
NPI:1124286034
Name:WANG, CHUANSHENG (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:CHUANSHENG
Middle Name:
Last Name:WANG
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 RIVER ROAD
Mailing Address - Street 2:9H
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10044-1461
Mailing Address - Country:US
Mailing Address - Phone:718-507-8866
Mailing Address - Fax:718-507-8867
Practice Address - Street 1:8708 JUSTICE AVE STE C6
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-4590
Practice Address - Country:US
Practice Address - Phone:718-507-8866
Practice Address - Fax:718-507-8867
Is Sole Proprietor?:No
Enumeration Date:2008-05-28
Last Update Date:2014-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC34634207RG0100X, 207RI0008X
NY251177207R00000X, 207RG0100X, 207RT0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0008XAllopathic & Osteopathic PhysiciansInternal MedicineHepatology
No207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RT0003XAllopathic & Osteopathic PhysiciansInternal MedicineTransplant Hepatology