Provider Demographics
NPI:1285609651
Name:NOWALK, ANDREW (MD PHD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:
Last Name:NOWALK
Suffix:
Gender:M
Credentials:MD PHD
Other - Prefix:
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Mailing Address - Street 1:3705 5TH AVE
Mailing Address - Street 2:ROOM 4B480
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-2584
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4401 PENN AVENUE
Practice Address - Street 2:AOB 5404
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224
Practice Address - Country:US
Practice Address - Phone:412-692-5135
Practice Address - Fax:412-692-7016
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD4180242080P0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAH73298Medicare UPIN
PA064043EB0Medicare ID - Type Unspecified