Provider Demographics
NPI:1447203286
Name:DAYO NAVALGUND ASSOCIATES
Entity Type:Organization
Organization Name:DAYO NAVALGUND ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:BRUNAZZI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-561-7246
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-19
Last Update Date:2016-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA418539208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1011375220001Medicaid
PA1631885OtherHIGHMARK
PA1631885OtherHIGHMARK