Provider Demographics
NPI:1225582323
Name:PAHUTA, MARKIAN ANDREW (MD, PHD, FRCSC)
Entity Type:Individual
Prefix:DR
First Name:MARKIAN
Middle Name:ANDREW
Last Name:PAHUTA
Suffix:
Gender:M
Credentials:MD, PHD, FRCSC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:237 BARTON ST EAST
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:ON
Mailing Address - Zip Code:L8L 2X2
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:237 BARTON ST EAST
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:ON
Practice Address - Zip Code:L8L 2X2
Practice Address - Country:CA
Practice Address - Phone:905-521-2100
Practice Address - Fax:905-527-6214
Is Sole Proprietor?:No
Enumeration Date:2016-08-08
Last Update Date:2021-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301111030207X00000X, 207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery