Provider Demographics
NPI:1487674073
Name:SHAW, SHENG C (MD)
Entity Type:Individual
Prefix:
First Name:SHENG
Middle Name:C
Last Name:SHAW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1 PENN CTR W STE 307
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15276-0106
Mailing Address - Country:US
Mailing Address - Phone:412-788-4995
Mailing Address - Fax:412-788-0250
Practice Address - Street 1:312 RUSTIN WAY
Practice Address - Street 2:
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-9699
Practice Address - Country:US
Practice Address - Phone:412-327-1667
Practice Address - Fax:412-788-0250
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2015-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD024334E2085R0202X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAB97211Medicare UPIN