Provider Demographics
NPI:1578564019
Name:MONGA, DULABH KAUR (MD)
Entity Type:Individual
Prefix:DR
First Name:DULABH
Middle Name:KAUR
Last Name:MONGA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:DULABH
Other - Middle Name:K
Other - Last Name:HANS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:247 MOREWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-1861
Mailing Address - Country:US
Mailing Address - Phone:412-622-0290
Mailing Address - Fax:412-681-7605
Practice Address - Street 1:314 E NORTH AVE
Practice Address - Street 2:LEVEL ONE
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15212-4756
Practice Address - Country:US
Practice Address - Phone:412-325-5700
Practice Address - Fax:412-442-2570
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD421518207RX0202X, 207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2489525Medicaid
WV3810002110Medicaid
PA101042278Medicaid
WV3810002110Medicaid
PA1010422780001Medicaid