Provider Demographics
NPI:1275853012
Name:KUSTI, MOHANNAD (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:MOHANNAD
Middle Name:
Last Name:KUSTI
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 GRANT ST STE 1650
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15219-2755
Mailing Address - Country:US
Mailing Address - Phone:412-433-7420
Mailing Address - Fax:412-675-7409
Practice Address - Street 1:600 GRANT ST STE 1650
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219-2755
Practice Address - Country:US
Practice Address - Phone:412-433-7420
Practice Address - Fax:412-675-7409
Is Sole Proprietor?:No
Enumeration Date:2010-06-03
Last Update Date:2019-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01081684A2083X0100X
WV255942083X0100X
MN22512083X0100X
PAMD4500412083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine