Healthcare Provider Details
I. General information
NPI: 1528088556
Provider Name (Legal Business Name): LADANI MEDICAL ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/20/2006
Last Update Date: 08/05/2021
Certification Date: 08/05/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
27 HECKEL RD
MC KEES ROCKS PA
15136-1616
US
IV. Provider business mailing address
2409 BROWNSVILLE ROAD
PITTSBURGH PA
15210-4503
US
V. Phone/Fax
- Phone: 412-777-4366
- Fax: 412-777-4369
- Phone: 412-886-1628
- Fax: 412-886-1643
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RC0000X |
| Taxonomy | Cardiovascular Disease Physician |
| License Number | MD021866E |
| License Number State | PA |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
| # 1 | |
| Identifier | 076162 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | MEDICARE PTAN |
| # 2 | |
| Identifier | 150020 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | MEDPLUS HEALTH PLAN |
| # 3 | |
| Identifier | 155574 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | UMWA UNITED MINE WORKERS |
| # 4 | |
| Identifier | 249203 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | HEALTH AMERICA |
| # 5 | |
| Identifier | 0249067004 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | CIGNA INSURANCE COMPANY |
| # 6 | |
| Identifier | P00113824 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | RAILROAD MEDICARE |
| # 7 | |
| Identifier | 0007780930006 |
| Identifier Type | MEDICAID |
| Identifier State | PA |
| Identifier Issuer | |
| # 8 | |
| Identifier | 0077809301 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | AMERICHOICE |
| # 9 | |
| Identifier | 1545241 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | BLUE SHEILD |
| # 10 | |
| Identifier | 159666 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | UNISON MED PLUS |
| # 11 | |
| Identifier | 3378431 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | AETNA HEALTH PLAN |
| # 12 | |
| Identifier | 102750 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | UPMC |
| # 13 | |
| Identifier | 1004890 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | GATEWAY |
| # 14 | |
| Identifier | 229409 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | ADVANTRA |
VIII. Authorized Official
Name: DR.
CHHAGANLAL
D
LADANI
Title or Position: PHYSICIAN
Credential: M.D.
Phone: 412-886-1628
