Provider Demographics
NPI:1578555280
Name:CSIKOS, DAVID A (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:A
Last Name:CSIKOS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1511 SCALP AVENUE
Mailing Address - Street 2:SUITE A
Mailing Address - City:WINDBER
Mailing Address - State:PA
Mailing Address - Zip Code:15963
Mailing Address - Country:US
Mailing Address - Phone:814-254-4207
Mailing Address - Fax:814-254-4733
Practice Address - Street 1:1511 SCALP AVENUE
Practice Address - Street 2:SUITE A
Practice Address - City:WINDBER
Practice Address - State:PA
Practice Address - Zip Code:15963
Practice Address - Country:US
Practice Address - Phone:814-254-4207
Practice Address - Fax:814-254-4733
Is Sole Proprietor?:No
Enumeration Date:2005-08-18
Last Update Date:2016-12-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD021742E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0008730740001Medicaid
PA149515Medicare ID - Type Unspecified
PA0008730740001Medicaid