Provider Demographics
NPI:1013112184
Name:WANG, HAIBIN (MD, PHD)
Entity Type:Individual
Prefix:
First Name:HAIBIN
Middle Name:
Last Name:WANG
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1275 S MAIN ST STE 103
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-5385
Mailing Address - Country:US
Mailing Address - Phone:412-407-3654
Mailing Address - Fax:412-235-4013
Practice Address - Street 1:1015 GROVE ST
Practice Address - Street 2:
Practice Address - City:MEADVILLE
Practice Address - State:PA
Practice Address - Zip Code:16335-2905
Practice Address - Country:US
Practice Address - Phone:814-337-5894
Practice Address - Fax:814-337-7082
Is Sole Proprietor?:No
Enumeration Date:2007-06-19
Last Update Date:2020-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4424444207L00000X, 208VP0000X
OH094866207L00000X
MAL-228109207L00000X
IN01075062A207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN201279990Medicaid
PA219833S8LMedicare PIN
IN201279990Medicaid