Provider Demographics
NPI:1821193194
Name:WADHWA, SAROJ R (MD)
Entity Type:Individual
Prefix:DR
First Name:SAROJ
Middle Name:R
Last Name:WADHWA
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 1:4815 LIBERTY AVENUE
Mailing Address - Street 2:MELLON PAVILION
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224
Mailing Address - Country:US
Mailing Address - Phone:412-681-8171
Mailing Address - Fax:412-621-1530
Practice Address - Street 1:4815 LIBERTY AVE
Practice Address - Street 2:MELLON PAVILION
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-2156
Practice Address - Country:US
Practice Address - Phone:412-681-8171
Practice Address - Fax:412-621-1530
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2008-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD033603L207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
105182OtherPABS
PAE73825Medicare UPIN
PA105182Medicare PIN