Individual
SHAFIC Y TWAL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15 S 8TH ST, SUITE 200, INDIANA, PA 15701-2776
(724) 463-0476
(724) 463-1196
Mailing address
15 S 8TH ST, SUITE 200, INDIANA, PA 15701-2776
(724) 463-0476
(724) 463-1196
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD020149E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006115170001
—
PA
01
—
848902
HIGHMARK
PA
Enumeration date
09/19/2005
Last updated
07/08/2007
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