Provider Demographics
NPI:1265646715
Name:SEWICKLEY PATHOLOGISTS
Entity Type:Organization
Organization Name:SEWICKLEY PATHOLOGISTS
Other - Org Name:AZIZEH HAJI-DJAFARI, A PROFESSIONAL CORPORATION
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AZIZEH
Authorized Official - Middle Name:
Authorized Official - Last Name:HAJI-DJAFARI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-749-7367
Mailing Address - Street 1:129 WILMAR DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15238-1607
Mailing Address - Country:US
Mailing Address - Phone:412-389-0924
Mailing Address - Fax:
Practice Address - Street 1:720 BLACKBURN RD
Practice Address - Street 2:
Practice Address - City:SEWICKLEY
Practice Address - State:PA
Practice Address - Zip Code:15143-1459
Practice Address - Country:US
Practice Address - Phone:412-749-7364
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZB0001XAllopathic & Osteopathic PhysiciansPathologyBlood Banking & Transfusion MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PASE437550Medicare ID - Type Unspecified