Provider Demographics
NPI:1548209141
Name:MONAHAN, DANIEL J (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:J
Last Name:MONAHAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:600 WATERCREST WAY
Mailing Address - Street 2:SUITE 630
Mailing Address - City:CHESWICK
Mailing Address - State:PA
Mailing Address - Zip Code:15024-1370
Mailing Address - Country:US
Mailing Address - Phone:724-274-9451
Mailing Address - Fax:724-274-9370
Practice Address - Street 1:200 DELAFIELD RD
Practice Address - Street 2:SUITE 2030
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15215-3205
Practice Address - Country:US
Practice Address - Phone:412-782-2101
Practice Address - Fax:412-782-2108
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2008-01-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD047542L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0014006600001Medicaid
PA735043OtherHIGHMARK
080090036OtherRAILROAD MEDICARE
080090036OtherRAILROAD MEDICARE
PAF52112Medicare UPIN