Individual
KAVEH ILKHANIPOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 LOCUST ST, PITTSBURGH, PA 15219-5114
(412) 232-8222
(412) 232-5768
Mailing address
1501 LOCUST ST, SUITE 403, PITTSBURGH, PA 15219-5136
(412) 232-5771
(412) 232-5768
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD037002E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000083371
UNISON
PA
05
—
0012886220001
—
PA
01
—
0491149
AETNA PIN
PA
01
—
1233295
CIGNA
PA
01
—
1513388
GATEWAY
PA
01
—
251809
UPMC
PA
01
—
537667
BCBS
PA
01
—
5627170
AETNA PVN
PA
01
—
567777JK6
MCR GROUP PTAN
PA
01
—
930009484
RR MEDICARE
PA
Enumeration date
09/27/2005
Last updated
05/27/2008
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