MEDICARE: DR. IAN HALIM MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	MD481072	PA

General Provider Information

NPI Number	:	1275095515
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. IAN HALIM MD

Provider Business Mailing Address
First Line	:	5840 ELLSWORTH AVE STE 100
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15232-1727
Country	:	US
Telephone Number	:	914-299-4095
Fax Number	:

Provider Business Practice Location Address
First Line	:	5840 ELLSWORTH AVE STE 100
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15232-1727
Country	:	US
Telephone Number	:	412-212-3174
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/04/2019
Last Update Date	:	08/11/2025

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