Individual
DR. PHALGUN PRATIVADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3824 NORTHERN PIKE STE 405, MONROEVILLE, PA 15146-2121
(412) 372-8750
(412) 372-8751
Mailing address
3824 NORTHERN PIKE, STE 700, MONROEVILLE, PA 15146-2141
(412) 457-0060
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MD448148
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1028222820001
—
PA
01
—
2897144
HIGHMARK
PA
Enumeration date
07/24/2008
Last updated
11/04/2020
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