Provider Demographics
NPI:1689008997
Name:PHYSICIAN LANDING ZONE, P.C.
Entity Type:Organization
Organization Name:PHYSICIAN LANDING ZONE, P.C.
Other - Org Name:MOHAN PATEL, MD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLDFARB
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-578-7080
Mailing Address - Street 1:120 5TH AVE
Mailing Address - Street 2:MAIL DROP 2516
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15222-3000
Mailing Address - Country:US
Mailing Address - Phone:412-544-2039
Mailing Address - Fax:
Practice Address - Street 1:224 LONGFELLOW ST
Practice Address - Street 2:SUITE 200
Practice Address - City:VANDERGRIFT
Practice Address - State:PA
Practice Address - Zip Code:15690-1476
Practice Address - Country:US
Practice Address - Phone:724-568-5551
Practice Address - Fax:724-568-3137
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-23
Last Update Date:2013-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD038760L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA11OtherCMS SPECIALITY CODES
PA207RG0300XOtherTAXONOMY