Provider Demographics
NPI:1659330181
Name:KILLIAN, PAUL J (MD)
Entity Type:Individual
Prefix:MR
First Name:PAUL
Middle Name:J
Last Name:KILLIAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2580 HAYMAKER RD
Mailing Address - Street 2:SUITE102
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-3518
Mailing Address - Country:US
Mailing Address - Phone:412-856-9142
Mailing Address - Fax:412-856-9144
Practice Address - Street 1:2580 HAYMAKER RD
Practice Address - Street 2:SUITE 302
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-3518
Practice Address - Country:US
Practice Address - Phone:412-856-1811
Practice Address - Fax:412-856-5871
Is Sole Proprietor?:No
Enumeration Date:2006-03-22
Last Update Date:2014-04-29
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Provider Licenses
StateLicense IDTaxonomies
PAMD023434E207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAB39859Medicare UPIN
PA149100Medicare PIN