Individual
KER-SHI WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
1310 SOUTHERN AVE SE, WASHINGTON, DC 20032-4623
(202) 574-6851
(202) 279-7370
Mailing address
PO BOX 784305, PHILADELPHIA, PA 19178-4305
(844) 565-6473
(302) 733-0854
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
D0039769
MD
207L00000X
Anesthesiology Physician
Primary
MD042715
DC
207L00000X
Anesthesiology Physician
MD046604L
PA
207LP2900X
Pain Medicine (Anesthesiology) Physician
MD046604L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001291501 0004
—
PA
01
—
050514
MEDICARE GROUP #
PA
01
—
1007307260036
MEDICAID GROUP #
PA
01
—
120420418
DEPT OF LABOR
PA
01
—
1582458
GATEWAY
PA
01
—
2154665
MAMSI
PA
01
—
25-1716306
HEALTHNET/TRICARE
PA
01
—
268482
UNISON
PA
01
—
4603436
AETNA NON-HMO
PA
01
—
50084227
CAPITAL BLUECROSS
PA
01
—
6906165
AETNA HMO
PA
01
—
P00724056
RAILROAD MEDICARE
PA
01
—
PEARL PROVIDER
HEALTH AMERICA
PA
01
—
WA2089555
HIGHMARK BLUESHIELD
PA
Enumeration date
08/30/2005
Last updated
01/14/2022
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