Provider Demographics
NPI:1598127656
Name:GAO, RICHARD WENXI (MD)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:WENXI
Last Name:GAO
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 1:5124 LIBERTY AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224-2290
Mailing Address - Country:US
Mailing Address - Phone:412-315-3380
Mailing Address - Fax:412-315-3801
Practice Address - Street 1:5124 LIBERTY AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-2290
Practice Address - Country:US
Practice Address - Phone:412-315-3380
Practice Address - Fax:412-315-3801
Is Sole Proprietor?:No
Enumeration Date:2016-03-28
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD484468207L00000X, 207LP2900X
MI4301109649390200000X
MA283684207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
15168658OtherCAQH