Provider Demographics
NPI:1972707354
Name:ONG, SHIRLEY S (MD)
Entity type:Individual
Prefix:
First Name:SHIRLEY
Middle Name:S
Last Name:ONG
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5150 CENTRE AVE RM 551
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15232-1309
Mailing Address - Country:US
Mailing Address - Phone:412-623-4639
Mailing Address - Fax:
Practice Address - Street 1:5115 CENTRE AVE FL 2
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15232-1301
Practice Address - Country:US
Practice Address - Phone:614-293-4448
Practice Address - Fax:614-293-3277
Is Sole Proprietor?:No
Enumeration Date:2007-06-12
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4884052084N0400X
ARE-69622084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0365999Medicaid