Provider Demographics
NPI:1629144217
Name:WAIEN, SAIQUA A (MD)
Entity Type:Individual
Prefix:MS
First Name:SAIQUA
Middle Name:A
Last Name:WAIEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 HOT METAL STREET
Mailing Address - Street 2:QUANTUM ONE N359
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15203-2348
Mailing Address - Country:US
Mailing Address - Phone:412-432-5869
Mailing Address - Fax:412-647-4486
Practice Address - Street 1:1 MEMORIAL DRIVE
Practice Address - Street 2:
Practice Address - City:OIL CITY
Practice Address - State:PA
Practice Address - Zip Code:16301-1341
Practice Address - Country:US
Practice Address - Phone:814-676-8571
Practice Address - Fax:814-676-9155
Is Sole Proprietor?:No
Enumeration Date:2006-11-27
Last Update Date:2019-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD444387207R00000X, 207RN0300X
MI4301091697207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1026661880003Medicaid
PA102666188Medicaid
NC2313887AMedicare PIN
NC5903785Medicaid
MIOM 32030Medicare PIN