Provider Demographics
NPI:1124061973
Name:LEWY-WEISS, VERED D (MD)
Entity type:Individual
Prefix:DR
First Name:VERED
Middle Name:D
Last Name:LEWY-WEISS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:VERED
Other - Middle Name:D
Other - Last Name:LEWY-WEISS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:600 OXFORD DR
Mailing Address - Street 2:SUITE 310
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-2338
Mailing Address - Country:US
Mailing Address - Phone:412-372-3755
Mailing Address - Fax:412-372-5975
Practice Address - Street 1:4401 PENN AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-1334
Practice Address - Country:US
Practice Address - Phone:412-692-5170
Practice Address - Fax:412-692-5834
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2011-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD059519L208000000X, 2080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0017990420004Medicaid
OH2576298Medicaid
OH2576298Medicaid