Provider Demographics
NPI:1609991777
Name:ADEL.W ARMANIOUS ,M.D., INC
Entity Type:Organization
Organization Name:ADEL.W ARMANIOUS ,M.D., INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ADEL
Authorized Official - Middle Name:W
Authorized Official - Last Name:ARMANIOUS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-539-8542
Mailing Address - Street 1:600 LIGONIER ST
Mailing Address - Street 2:
Mailing Address - City:LATROBE
Mailing Address - State:PA
Mailing Address - Zip Code:15650-1426
Mailing Address - Country:US
Mailing Address - Phone:724-539-8542
Mailing Address - Fax:724-537-2519
Practice Address - Street 1:600 LIGONIER ST
Practice Address - Street 2:
Practice Address - City:LATROBE
Practice Address - State:PA
Practice Address - Zip Code:15650-1426
Practice Address - Country:US
Practice Address - Phone:724-539-8542
Practice Address - Fax:724-537-2519
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2010-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD031093LL208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0005935170001Medicaid
PAB40763Medicare UPIN
PA0005935170001Medicaid