Provider Demographics
NPI:1992789762
Name:ROCHE, KAREN RUTH (MD)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:RUTH
Last Name:ROCHE
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Gender:F
Credentials:MD
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Mailing Address - Street 1:9365 MCKNIGHT RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-5901
Mailing Address - Country:US
Mailing Address - Phone:412-367-8998
Mailing Address - Fax:412-367-3864
Practice Address - Street 1:9365 MCKNIGHT RD
Practice Address - Street 2:SUITE 200
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-5901
Practice Address - Country:US
Practice Address - Phone:412-367-8998
Practice Address - Fax:412-367-3864
Is Sole Proprietor?:No
Enumeration Date:2005-12-05
Last Update Date:2011-10-14
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Provider Licenses
StateLicense IDTaxonomies
PAMD018222E208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
C30583Medicare UPIN