Healthcare Provider Details

I. General information

NPI: 1902006471
Provider Name (Legal Business Name): M VARINDANI PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2007
Last Update Date: 07/23/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

307 FREEPORT RD
BLAWNOX PA
15238-3441
US

IV. Provider business mailing address

307 FREEPORT RD
BLAWNOX PA
15238-3441
US

V. Phone/Fax

Practice location:
  • Phone: 412-828-0100
  • Fax: 412-828-1142
Mailing address:
  • Phone: 412-828-0100
  • Fax: 412-828-1142

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberMD033580E
License Number StatePA

VIII. Authorized Official

Name: DR. MAHESH K VARINDANI
Title or Position: OWNER
Credential: MD
Phone: 412-828-0100