Provider Demographics
NPI:1548224892
Name:DUA, MONICA PATHAK (MD)
Entity Type:Individual
Prefix:DR
First Name:MONICA
Middle Name:PATHAK
Last Name:DUA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3824 NORTHERN PIKE
Mailing Address - Street 2:STE 700
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-2141
Mailing Address - Country:US
Mailing Address - Phone:412-457-0060
Mailing Address - Fax:
Practice Address - Street 1:1916 LINCOLN HWY
Practice Address - Street 2:
Practice Address - City:NORTH VERSAILLES
Practice Address - State:PA
Practice Address - Zip Code:15137-2706
Practice Address - Country:US
Practice Address - Phone:412-824-5820
Practice Address - Fax:412-824-5677
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD 067365 L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0017430470004Medicaid
PA110188284OtherRAILROAD MEDICARE
PA0017430470004Medicaid
G88449Medicare UPIN