Provider Demographics
NPI:1457317851
Name:SORIANO, CLAVER S (MD)
Entity Type:Individual
Prefix:
First Name:CLAVER
Middle Name:S
Last Name:SORIANO
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 1:415 NEPTUNE ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15220-5516
Mailing Address - Country:US
Mailing Address - Phone:412-921-7200
Mailing Address - Fax:412-921-4681
Practice Address - Street 1:415 NEPTUNE ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15220-5516
Practice Address - Country:US
Practice Address - Phone:412-921-7200
Practice Address - Fax:412-921-4681
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2012-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD039063L207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0009348680001Medicaid
PA442870Medicare PIN
PA0009348680001Medicaid