Provider Demographics
NPI:1720250137
Name:NORTH PITTSBURGH PEDIATRICS AND ADOLESCENT
Entity type:Organization
Organization Name:NORTH PITTSBURGH PEDIATRICS AND ADOLESCENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MEENA
Authorized Official - Middle Name:
Authorized Official - Last Name:ADHAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-940-1777
Mailing Address - Street 1:11676 PERRY HWY STE 2204
Mailing Address - Street 2:
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-7202
Mailing Address - Country:US
Mailing Address - Phone:724-940-1777
Mailing Address - Fax:724-940-1778
Practice Address - Street 1:11676 PERRY HWY STE 2204
Practice Address - Street 2:
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-7202
Practice Address - Country:US
Practice Address - Phone:724-940-1777
Practice Address - Fax:724-940-1778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-25
Last Update Date:2008-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD041553E2080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAF32008Medicare UPIN