Provider Demographics
NPI:1407051881
Name:HE, SUIWEN (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:SUIWEN
Middle Name:
Last Name:HE
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2242 DARLINGTON RD
Mailing Address - Street 2:UNIT B
Mailing Address - City:BEAVER FALLS
Mailing Address - State:PA
Mailing Address - Zip Code:15010-1329
Mailing Address - Country:US
Mailing Address - Phone:724-384-8392
Mailing Address - Fax:724-384-0066
Practice Address - Street 1:1597 WASHINGTON PIKE
Practice Address - Street 2:STE A22
Practice Address - City:BRIDGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15017-2878
Practice Address - Country:US
Practice Address - Phone:412-489-6919
Practice Address - Fax:412-489-6279
Is Sole Proprietor?:No
Enumeration Date:2007-06-18
Last Update Date:2020-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN11013295A207R00000X
PAMD071954L208M00000X
PAMD442052207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA219709Q2YMedicare PIN