Organization
MON VALLEY PATHOLOGY ASSOCIATES, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIRMAL KOTWAL MD (PRESIDENT)
(805) 578-8300
Entity
Organization
Contact information
Practice address
1163 COUNTRY CLUB RD, MONONGAHELA, PA 15063-1013
(805) 578-8300
Mailing address
PO BOX 10076, VAN NUYS, CA 91410-0076
(805) 578-8300
(805) 578-8950
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014560940004
—
PA
Enumeration date
04/03/2006
Last updated
04/28/2020
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