Provider Demographics
NPI:1851420392
Name:ABDU, AMGAD
Entity Type:Individual
Prefix:
First Name:AMGAD
Middle Name:
Last Name:ABDU
Suffix:
Gender:M
Credentials:
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 ST
Mailing Address - Street 2:QUANTUM ONE, SUITE 001
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15203-2348
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6885 US 322
Practice Address - Street 2:SUITE 3
Practice Address - City:FRANKLIN
Practice Address - State:PA
Practice Address - Zip Code:16323-8000
Practice Address - Country:US
Practice Address - Phone:814-678-4810
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2021-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD431071207RP1001X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA101966448Medicaid
PA1957176OtherHIGHMARK
PAP00423992Medicare PIN
PA1957176OtherHIGHMARK