Provider Demographics
NPI:1811305162
Name:DIVEKAR AND ASSOCIATES - GYNECOLOGY AESTHETICS AND WELLNESS CENTER PC
Entity type:Organization
Organization Name:DIVEKAR AND ASSOCIATES - GYNECOLOGY AESTHETICS AND WELLNESS CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:PREETI
Authorized Official - Middle Name:RAJESH
Authorized Official - Last Name:DIVEKAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-499-3540
Mailing Address - Street 1:1882 PIONEER DR
Mailing Address - Street 2:
Mailing Address - City:SEWICKLEY
Mailing Address - State:PA
Mailing Address - Zip Code:15143-8585
Mailing Address - Country:US
Mailing Address - Phone:412-499-3540
Mailing Address - Fax:412-499-3540
Practice Address - Street 1:9102 BABCOCK BLVD STE 107
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-5819
Practice Address - Country:US
Practice Address - Phone:412-499-3540
Practice Address - Fax:412-499-3210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-31
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD435032207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty