Individual
DANIEL ANTHONY SHADE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
490 E NORTH AVE, SUITE 309, PITTSBURGH, PA 15212-4740
(412) 442-2522
(412) 442-2524
Mailing address
490 E NORTH AVE, SUITE 309, PITTSBURGH, PA 15212-4740
(412) 442-2522
(412) 442-2524
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD054477L
PA
207RP1001X
Pulmonary Disease Physician
Primary
MD054477L
PA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
MD054477L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016776580004
—
PA
05
—
2181731
—
OH
05
—
6000337000
—
WV
Enumeration date
04/07/2006
Last updated
10/07/2020
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