Provider Demographics
NPI:1295714137
Name:GROVER, SUKHDEV SINGH (MD)
Entity type:Individual
Prefix:DR
First Name:SUKHDEV
Middle Name:SINGH
Last Name:GROVER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:532 SQUAW RUN RD E
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15238-1922
Mailing Address - Country:US
Mailing Address - Phone:724-274-4320
Mailing Address - Fax:724-274-4332
Practice Address - Street 1:1704 PITTSBURGH ST
Practice Address - Street 2:
Practice Address - City:CHESWICK
Practice Address - State:PA
Practice Address - Zip Code:15024-1526
Practice Address - Country:US
Practice Address - Phone:724-274-4320
Practice Address - Fax:724-274-4332
Is Sole Proprietor?:No
Enumeration Date:2006-01-10
Last Update Date:2008-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD033946L207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000733500007Medicaid
WV0079934000Medicaid
PA0007333500001Medicaid
PAP00232458Medicare PIN
PA130382D30Medicare PIN
PA000733500007Medicaid
PA130382GXHMedicare PIN