Provider Demographics
NPI:1558354738
Name:NAVALGUND, YESHVANT A (MD)
Entity Type:Individual
Prefix:DR
First Name:YESHVANT
Middle Name:A
Last Name:NAVALGUND
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 1:120 VILLAGE DR
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-3707
Mailing Address - Country:US
Mailing Address - Phone:412-337-4476
Mailing Address - Fax:412-235-4011
Practice Address - Street 1:120 VILLAGE DR
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-3707
Practice Address - Country:US
Practice Address - Phone:412-561-7246
Practice Address - Fax:866-580-7246
Is Sole Proprietor?:No
Enumeration Date:2005-08-24
Last Update Date:2022-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV21330208VP0000X
PAMD418539208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD002822300Medicaid
OH2545964Medicaid
WV3000107000Medicaid
PA1011462270001Medicaid
PA1011462270002Medicaid
PA1634794OtherHIGHMARK
PA1634794OtherHIGHMARK
PAI02485Medicare UPIN
OH2545964Medicaid
PA084175S8LMedicare ID - Type UnspecifiedHGSADMINISTRATORS