Provider Demographics
NPI:1922213057
Name:LIN, JIUANN-HUEY IVY (MD, PHD)
Entity Type:Individual
Prefix:
First Name:JIUANN-HUEY
Middle Name:IVY
Last Name:LIN
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4401 PENN AVE RM 4552
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224-1342
Mailing Address - Country:US
Mailing Address - Phone:412-692-7366
Mailing Address - Fax:412-692-7366
Practice Address - Street 1:4401 PENN AVE RM 4552
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-1342
Practice Address - Country:US
Practice Address - Phone:412-692-7366
Practice Address - Fax:412-692-5169
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2021-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1102182080P0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLFJ783ZMedicare PIN