Provider Demographics
NPI:1073996674
Name:DAYO NAVALGUND ASSOCIATES
Entity Type:Organization
Organization Name:DAYO NAVALGUND ASSOCIATES
Other - Org Name:DNA ADVANCED PAIN TREATMENT CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:L
Authorized Official - Last Name:BRUNAZZI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-337-4476
Mailing Address - Street 1:360 GOUCHER ST
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15905-3400
Mailing Address - Country:US
Mailing Address - Phone:412-561-7246
Mailing Address - Fax:412-235-4011
Practice Address - Street 1:360 GOUCHER ST
Practice Address - Street 2:
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15905-3400
Practice Address - Country:US
Practice Address - Phone:412-561-7246
Practice Address - Fax:412-235-4011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-01
Last Update Date:2015-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA083896OtherMEDICARE