Provider Demographics
NPI:1598706897
Name:NAMAN, PETER S (MD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:S
Last Name:NAMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3824 NORTHERN PIKE
Mailing Address - Street 2:SUITE 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 1:2566 HAYMAKER RD
Practice Address - Street 2:POB 1 SUITE 103
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-3517
Practice Address - Country:US
Practice Address - Phone:412-372-1155
Practice Address - Fax:412-372-2622
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD050077L208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001466546Medicaid
020028139OtherRAIL ROAD MEDICARE
771156OtherBLUE SHIELD
1019035OtherGATEWAY HEALTH PLAN
100944OtherVPMC HEALTH PLAN
4606810OtherAETNA
PA001466546Medicaid
771156OtherBLUE SHIELD
771156OtherBLUE SHIELD