Provider Demographics
NPI:1558676270
Name:A. HASSAN PANAANDEH M.D. LTD
Entity type:Organization
Organization Name:A. HASSAN PANAANDEH M.D. LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:A. HASSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PANAHANDEH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-369-8112
Mailing Address - Street 1:4725 MCKNIGHT RD
Mailing Address - Street 2:SUITE 212
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-3414
Mailing Address - Country:US
Mailing Address - Phone:412-369-8112
Mailing Address - Fax:412-369-8113
Practice Address - Street 1:4725 MCKNIGHT RD
Practice Address - Street 2:SUITE 212
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-3414
Practice Address - Country:US
Practice Address - Phone:412-369-8112
Practice Address - Fax:412-369-8113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-18
Last Update Date:2010-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD031736L208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal SurgeryGroup - Single Specialty