Organization
WESTERN PENNSYLVANIA PSYCH CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJENDRA K. NIGAM M.D. (PRESIDENT)
(724) 728-8411
Entity
Organization
Contact information
Practice address
1607 3RD ST, BEAVER, PA 15009-2420
(724) 728-8411
(724) 728-8410
Mailing address
1607 3RD ST, BEAVER, PA 15009-2420
(724) 728-8411
(724) 728-8410
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD040433E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
341757
KEYSTONE BLUE SHIELD
PA
Enumeration date
07/12/2007
Last updated
03/27/2015
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