Provider Demographics
NPI:1164539920
Name:CELKO, DAVID ALBERT (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:ALBERT
Last Name:CELKO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:455 VALLEYBROOK RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:MC MURRAY
Mailing Address - State:PA
Mailing Address - Zip Code:15317-3367
Mailing Address - Country:US
Mailing Address - Phone:724-941-5588
Mailing Address - Fax:724-941-1458
Practice Address - Street 1:455 VALLEYBROOK RD
Practice Address - Street 2:SUITE 300
Practice Address - City:MC MURRAY
Practice Address - State:PA
Practice Address - Zip Code:15317-3367
Practice Address - Country:US
Practice Address - Phone:724-941-5588
Practice Address - Fax:724-941-1458
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2020-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD-018247E207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAB39945Medicare UPIN
PACE150458Medicare ID - Type Unspecified