Provider Demographics
NPI:1427084607
Name:TANG, BAOWEI (MD)
Entity type:Individual
Prefix:DR
First Name:BAOWEI
Middle Name:
Last Name:TANG
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 1:3824 NORTHERN PIKE
Mailing Address - Street 2:STE 700
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-2141
Mailing Address - Country:US
Mailing Address - Phone:412-457-0060
Mailing Address - Fax:
Practice Address - Street 1:3824 NORTHERN PIKE
Practice Address - Street 2:STE 415
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-2141
Practice Address - Country:US
Practice Address - Phone:412-457-0420
Practice Address - Fax:412-457-0416
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM7678207RR0500X
PAMD447439207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX188222702Medicaid
PA1027806100001Medicaid
TX8AD142OtherBCBS
PA2791234OtherHIGHMARK
TX188222701Medicaid
TX8AD142OtherBCBS
TNI55479Medicare UPIN
PA2689753Medicare PIN
PA1027806100001Medicaid
TXP00813372Medicare PIN
PA2791234OtherHIGHMARK
TN3810253Medicare ID - Type Unspecified