MEDICARE: DR. SUKHDEV SINGH GROVER 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	207RP1001X	Pulmonary Disease Physician	MD033946L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1295714137
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SUKHDEV SINGH GROVER MD

Provider Business Mailing Address
First Line	:	532 SQUAW RUN RD E
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15238-1922
Country	:	US
Telephone Number	:	724-274-4320
Fax Number	:	724-274-4332

Provider Business Practice Location Address
First Line	:	1704 PITTSBURGH ST
Second Line	:
City	:	CHESWICK
State	:	PA
Zip	:	15024-1526
Country	:	US
Telephone Number	:	724-274-4320
Fax Number	:	724-274-4332

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

Provider Enumeration Date	:	01/10/2006
Last Update Date	:	05/02/2008

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