1649331455 NPI number — STEEL VALLEY INFECTIOUS DISEASES, PC

Table of content: (NPI 1649331455)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649331455 NPI number — STEEL VALLEY INFECTIOUS DISEASES, PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
STEEL VALLEY INFECTIOUS DISEASES, PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1649331455
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/21/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1303 LINCOLN WAY
Provider Second Line Business Mailing Address:
STE B
Provider Business Mailing Address City Name:
MCKEESPORT
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15131-1603
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-257-5100
Provider Business Mailing Address Fax Number:
412-257-5101

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1303 LINCOLN WAY
Provider Second Line Business Practice Location Address:
STE B
Provider Business Practice Location Address City Name:
MCKEESPORT
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15131-1603
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-257-5100
Provider Business Practice Location Address Fax Number:
412-257-5101
Provider Enumeration Date:
12/13/2006

Additional Information

Authorized Official

Authorized Official Last Name:
AMIN
Authorized Official First Name:
KAMAL
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
412-257-5100

Provider Taxonomy Codes

  • Taxonomy code: 207RI0200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 506049 . This is a "HEALTH AMERICA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 000000409C . This is a "UPMC HEALTH PLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7091507 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1978510 . This is a "HIGHMARK BLUE SHIELD" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 000000213890 . This is a "UNISON HEALTH PLAN" identifier . This identifiers is of the category "OTHER".




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