Provider Demographics
NPI:1083711436
Name:WADHWA'S GYNE & INFERTILITY SERVICES INC
Entity Type:Organization
Organization Name:WADHWA'S GYNE & INFERTILITY SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OPERATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SAROJ
Authorized Official - Middle Name:R
Authorized Official - Last Name:WADHWA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-681-8171
Mailing Address - Street 1:4815 LIBERTY AVE MELLON PAVILION
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224
Mailing Address - Country:US
Mailing Address - Phone:412-681-8171
Mailing Address - Fax:412-621-1530
Practice Address - Street 1:4815 LIBERTY AVE MELLON PAVILION
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224
Practice Address - Country:US
Practice Address - Phone:412-681-8171
Practice Address - Fax:412-621-1530
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2015-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA105182OtherBC/BS
PAE73825Medicare UPIN
PA105182Medicare PIN