Individual
DEKLERK NGANKAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 LOCUST ST STE 11516, PITTSBURGH, PA 15219-5114
(412) 232-8949
Mailing address
3600 FORBES AVE STE 140, PITTSBURGH, PA 15213-3410
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
35.151917
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT219877
STATE BOARD OF MEDICINE
PA
Enumeration date
04/24/2020
Last updated
09/23/2024
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