Provider Demographics
NPI:1962501015
Name:MNUSKIN, ANNA (MD)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:MNUSKIN
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 1:113 SHANNON DR
Mailing Address - Street 2:
Mailing Address - City:BLAWNOX
Mailing Address - State:PA
Mailing Address - Zip Code:15238-1713
Mailing Address - Country:US
Mailing Address - Phone:412-942-3871
Mailing Address - Fax:
Practice Address - Street 1:1000 BOWER HILL RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15243-1873
Practice Address - Country:US
Practice Address - Phone:412-788-4995
Practice Address - Fax:412-788-0250
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2007-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD068894L207ZP0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0105XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology/Laboratory Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000118962OtherUNISON HEALTH PLAN
PA218352OtherUPMC HEALTH PLAN
2994400OtherAETNA
P00000600OtherRAILROAD MEDICARE
PA0018453970001Medicaid
1517937OtherGATEWAY HEALTH PLAN
PA1301598OtherHIGHMARK BLUE SHIELD
PA218352OtherUPMC HEALTH PLAN
P00000600OtherRAILROAD MEDICARE