Provider Demographics
NPI:1417940065
Name:NAVALGUND, BRINDA K (MD)
Entity Type:Individual
Prefix:
First Name:BRINDA
Middle Name:K
Last Name:NAVALGUND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 VILLAGE DR
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-3787
Mailing Address - Country:US
Mailing Address - Phone:724-552-0585
Mailing Address - Fax:412-235-4011
Practice Address - Street 1:1275 S MAIN ST
Practice Address - Street 2:SUITE 103
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-5385
Practice Address - Country:US
Practice Address - Phone:412-561-7246
Practice Address - Fax:412-235-4011
Is Sole Proprietor?:No
Enumeration Date:2005-08-30
Last Update Date:2015-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD420107208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1008273880003Medicaid
PA1533224OtherHIGHMARK
PAH87576Medicare UPIN
PA1533224OtherHIGHMARK