Provider Demographics
NPI:1396723193
Name:CHUANG, WILLIAM (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
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 1:6400 BROOKTREE CT STE 350
Mailing Address - Street 2:
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-9271
Mailing Address - Country:US
Mailing Address - Phone:412-230-8200
Mailing Address - Fax:412-230-8215
Practice Address - Street 1:6400 BROOKTREE CT STE 350
Practice Address - Street 2:
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-9271
Practice Address - Country:US
Practice Address - Phone:412-230-8200
Practice Address - Fax:412-230-8215
Is Sole Proprietor?:No
Enumeration Date:2006-01-03
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012637652085N0700X
MN411552085R0202X
OH35.1232242085R0202X
MI43011135162085R0202X
KY477372085R0202X
NY2071952085R0202X
IN01074612A2085R0202X
PAMD4183662085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0019171820002Medicaid
PA2746719OtherHIGHMARK BCBS
PAP01206170OtherRAILROAD MEDICARE
PAP01206170OtherRAILROAD MEDICARE