Individual
KOUSHIK MUKHERJEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 N BELLEFIELD AVE STE 4T, PITTSBURGH, PA 15213-2600
(412) 246-5401
(412) 246-5410
Mailing address
1010 MERIDIAN DR, PRESTO, PA 15142-1028
(412) 279-2679
(412) 488-4097
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD071251L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018044920005
—
PA
01
—
763374
HIGHMARK
PA
Enumeration date
10/24/2005
Last updated
06/01/2021
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