Provider Demographics
NPI:1114021334
Name:PEDIATRIC HEALTHCARE ASSOCIATES
Entity type:Organization
Organization Name:PEDIATRIC HEALTHCARE ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SATHYA
Authorized Official - Middle Name:
Authorized Official - Last Name:ASWATHAPPA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:814-944-7383
Mailing Address - Street 1:615 6TH AVENUE
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:PA
Mailing Address - Zip Code:16602-2621
Mailing Address - Country:US
Mailing Address - Phone:814-944-7383
Mailing Address - Fax:814-944-7608
Practice Address - Street 1:615 6TH AVENUE
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:PA
Practice Address - Zip Code:16602-2621
Practice Address - Country:US
Practice Address - Phone:814-944-7383
Practice Address - Fax:814-944-7608
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-08
Last Update Date:2019-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA098395OtherBLUE SHIELD