Provider Demographics
NPI:1568426419
Name:MECS, SANDOR (MD)
Entity Type:Individual
Prefix:
First Name:SANDOR
Middle Name:
Last Name:MECS
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 1:640 KOLTER DR
Mailing Address - Street 2:
Mailing Address - City:INDIANA
Mailing Address - State:PA
Mailing Address - Zip Code:15701-3570
Mailing Address - Country:US
Mailing Address - Phone:724-357-7196
Mailing Address - Fax:724-357-7279
Practice Address - Street 1:841 HOSPITAL RD STE 2500
Practice Address - Street 2:
Practice Address - City:INDIANA
Practice Address - State:PA
Practice Address - Zip Code:15701-3699
Practice Address - Country:US
Practice Address - Phone:724-427-2797
Practice Address - Fax:724-427-2715
Is Sole Proprietor?:No
Enumeration Date:2006-04-15
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD040213L207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000000065238OtherUNISON
PA660822OtherBLUE SHIELD
PA0012363400001Medicaid
PA2180861000OtherINDEPENDENCE BLUE CROSS
E77151Medicare UPIN
PA660822Medicare PIN