Provider Demographics
NPI:1306833777
Name:MONTI, DANIEL (MD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:MONTI
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 1:1376 FREEPORT RD STE 3B
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15238-3110
Mailing Address - Country:US
Mailing Address - Phone:412-963-7511
Mailing Address - Fax:412-963-7708
Practice Address - Street 1:1376 FREEPORT RD STE 3B
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15238-3110
Practice Address - Country:US
Practice Address - Phone:412-963-7511
Practice Address - Fax:412-963-7708
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-30
Last Update Date:2011-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4200162084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1641575OtherHIGHMARK
PA1012077990001Medicaid
PA1641575OtherHIGHMARK
I24922Medicare UPIN