Provider Demographics
NPI:1649331455
Name:STEEL VALLEY INFECTIOUS DISEASES, PC
Entity type:Organization
Organization Name:STEEL VALLEY INFECTIOUS DISEASES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAMAL
Authorized Official - Middle Name:
Authorized Official - Last Name:AMIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-257-5100
Mailing Address - Street 1:1303 LINCOLN WAY
Mailing Address - Street 2:STE B
Mailing Address - City:MCKEESPORT
Mailing Address - State:PA
Mailing Address - Zip Code:15131-1603
Mailing Address - Country:US
Mailing Address - Phone:412-257-5100
Mailing Address - Fax:412-257-5101
Practice Address - Street 1:1303 LINCOLN WAY
Practice Address - Street 2:STE B
Practice Address - City:MCKEESPORT
Practice Address - State:PA
Practice Address - Zip Code:15131-1603
Practice Address - Country:US
Practice Address - Phone:412-257-5100
Practice Address - Fax:412-257-5101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2012-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
506049OtherHEALTH AMERICA
000000409COtherUPMC HEALTH PLAN
7091507OtherAETNA
PA1978510OtherHIGHMARK BLUE SHIELD
000000213890OtherUNISON HEALTH PLAN
000000409COtherUPMC HEALTH PLAN