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MT LEBANON INTERNAL MEDICINE PC NPI 1366468704


NPI Information

NPI: 1366468704
Provider Name: MT LEBANON INTERNAL MEDICINE, PC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 39D0925107

Address:
300 CEDAR BLVD
PITTSBURGH, PA
ZIP 15228
Phone: (412) 561-1484
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MT LEBANON INTERNAL MEDICINE, PC is an internal medicine in Pittsburgh, PA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. MT LEBANON INTERNAL MEDICINE, PC NPI is 1366468704. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

300 CEDAR BLVD
PITTSBURGH, PA
ZIP 15228-155
Phone: (412) 561-1484
Fax: (412) 561-7145

The provider's authorized official is Karl E Bushman .
The authorized official title is Chief Operating Officer and has the following contact phone number (412) 561-1484.

The CLIA number assigned to this NPI record is 39D0925107 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/15/2006 and was last updated on 2/26/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1049705MEDICARE ID-TYPE UNSPECIFIEDPYU

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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