Provider Demographics
NPI:1912968587
Name:SNEAD, FELICIA E (MD)
Entity Type:Individual
Prefix:DR
First Name:FELICIA
Middle Name:E
Last Name:SNEAD
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 1:1020 BOWER HILL RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15243-1843
Mailing Address - Country:US
Mailing Address - Phone:412-502-3920
Mailing Address - Fax:412-502-3933
Practice Address - Street 1:1020 BOWER HILL RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15243-1843
Practice Address - Country:US
Practice Address - Phone:412-502-3920
Practice Address - Fax:412-502-3933
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2014-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME883742085R0001X
PAMD4484042085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAP01223134OtherRAILROAD MEDICARE
PA1028864140001Medicaid
GA382877904AMedicaid
FL2675561-00Medicaid
FLP00060151OtherRAILROAD MEDICARE
FL81382UMedicare PIN
PAP01223134OtherRAILROAD MEDICARE
FLP00060151OtherRAILROAD MEDICARE
FL81382WMedicare PIN
FL81382VMedicare PIN