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TRI STATE COLORECTAL ASSOC NPI 1629249008


NPI Information

NPI: 1629249008
Provider Name: TRI STATE COLORECTAL ASSOC
Classification: Colon & Rectal Surgery - 208C00000X
Entity Type: Organization
Address:
4725 MCKNIGHT RD
SUITE 107
PITTSBURGH, PA
ZIP 15237
Phone: (412) 366-2979
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TRI STATE COLORECTAL ASSOC is a colon rectal surgery in Pittsburgh, PA. The provider is a colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. TRI STATE COLORECTAL ASSOC NPI is 1629249008. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4725 MCKNIGHT RD
SUITE 107
PITTSBURGH, PA
ZIP 15237-414
Phone: (412) 366-2979
Fax: (412) 366-5377

The provider's authorized official is Ved P Kaushik .
The authorized official title is President and has the following contact phone number (412) 366-2979.

The enumeration date for this NPI number is 3/13/2008 and was last updated on 3/13/2008.


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
1208C00000XColon & Rectal SurgeryMD043911EPENNSYLVANIAYes

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
1E22011MEDICARE UPINPENNSYLVANIA

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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