Provider Demographics
NPI:1740715010
Name:CARNAHAN, SEAN PATRICK (DO)
Entity type:Individual
Prefix:
First Name:SEAN
Middle Name:PATRICK
Last Name:CARNAHAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3600 FORBES AVENUE
Mailing Address - Street 2:FORBES TOWER-PLAZA LEVEL SUITE 140
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213
Mailing Address - Country:US
Mailing Address - Phone:215-481-2725
Mailing Address - Fax:215-481-3013
Practice Address - Street 1:815 FREEPORT RD.
Practice Address - Street 2:PRIMARY CARE SPORTS MEDICINE FELLOWSHIP
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15215
Practice Address - Country:US
Practice Address - Phone:412-784-4227
Practice Address - Fax:215-481-3013
Is Sole Proprietor?:No
Enumeration Date:2017-04-25
Last Update Date:2021-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOT017649207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine