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MITRE GASTROENTEROLOGY ASSOCIATES NPI 1366487720


NPI Information

NPI: 1366487720
Provider Name: MITRE GASTROENTEROLOGY ASSOCIATES
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

Address:
925 BRIGHTON RD
PITTSBURGH, PA
ZIP 15233
Phone: (412) 321-1648
Get Directions

MITRE GASTROENTEROLOGY ASSOCIATES is a gastroenterology internal medicine in Pittsburgh, PA. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. MITRE GASTROENTEROLOGY ASSOCIATES NPI is 1366487720. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

925 BRIGHTON RD
PITTSBURGH, PA
ZIP 15233-707
Phone: (412) 321-1648
Fax: (412) 321-4216

The provider's authorized official is Ricardo Mitre .
The authorized official title is Medical Director and has the following contact phone number (412) 321-1648.

The enumeration date for this NPI number is 6/19/2006 and was last updated on 8/22/2020.


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
1207RG0100XInternal MedicineGastroenterologyMD032806LNEW JERSEYYes

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
11009520810001MEDICAIDNEW JERSEY
21568734OTHERNEW JERSEYBLUE CROSS BLUE SHIELD

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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