Healthcare Provider Details

I. General information

NPI: 1558354738
Provider Name (Legal Business Name): YESHVANT A NAVALGUND MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2005
Last Update Date: 11/14/2024
Certification Date: 11/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 VILLAGE DR
GREENSBURG PA
15601-3707
US

IV. Provider business mailing address

120 VILLAGE DR
GREENSBURG PA
15601-3707
US

V. Phone/Fax

Practice location:
  • Phone: 412-561-7246
  • Fax: 866-580-7246
Mailing address:
  • Phone: 412-337-4476
  • Fax: 412-235-4011

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number21330
License Number StateWV
# 2
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License NumberMD418539
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License NumberME149170
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: