Provider Demographics
NPI:1891751194
Name:WESTMORELAND CENTER FOR INTERNAL MEDICINE, P.C.
Entity Type:Organization
Organization Name:WESTMORELAND CENTER FOR INTERNAL MEDICINE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:R
Authorized Official - Last Name:PANAHANDEH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-832-9300
Mailing Address - Street 1:984 GREENGATE N
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-2012
Mailing Address - Country:US
Mailing Address - Phone:724-832-9300
Mailing Address - Fax:724-832-9303
Practice Address - Street 1:984 GREENGATE N
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-2012
Practice Address - Country:US
Practice Address - Phone:724-832-9300
Practice Address - Fax:724-832-9303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA094060Medicare ID - Type Unspecified