Provider Demographics
NPI:1780633263
Name:MAO, SHIFENG (MD)
Entity Type:Individual
Prefix:DR
First Name:SHIFENG
Middle Name:
Last Name:MAO
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 1:247 MOREWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-1861
Mailing Address - Country:US
Mailing Address - Phone:412-622-0290
Mailing Address - Fax:412-681-7605
Practice Address - Street 1:314 E NORTH AVE
Practice Address - Street 2:LEVEL ONE
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15212-4756
Practice Address - Country:US
Practice Address - Phone:412-325-5700
Practice Address - Fax:412-422-2570
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD440408207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102491537Medicaid
PA188897Medicare PIN
1780633263Medicare Oscar/Certification
TX8L23414Medicare PIN
TX8L23415Medicare PIN
TX8L23736Medicare PIN
TXI12669Medicare UPIN
TX166355108Medicaid