Healthcare Provider Details

I. General information

NPI: 1417940065
Provider Name (Legal Business Name): BRINDA K NAVALGUND M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2005
Last Update Date: 06/05/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1275 S MAIN ST SUITE 103
GREENSBURG PA
15601-5385
US

IV. Provider business mailing address

120 VILLAGE DR
GREENSBURG PA
15601-3787
US

V. Phone/Fax

Practice location:
  • Phone: 412-561-7246
  • Fax: 412-235-4011
Mailing address:
  • Phone: 724-552-0585
  • Fax: 412-235-4011

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License NumberMD420107
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: