Healthcare Provider Details

I. General information

NPI: 1922290972
Provider Name (Legal Business Name): DR. HUWAIDA EL-HILLAL MANSOUR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HUWAIDA EL-HILLAL M.D.

II. Dates (important events)

Enumeration Date: 08/14/2007
Last Update Date: 07/30/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27 HECKEL RD SUITE 210
MC KEES ROCKS PA
15136-1616
US

IV. Provider business mailing address

25 HECKEL RD
MC KEES ROCKS PA
15136-1651
US

V. Phone/Fax

Practice location:
  • Phone: 412-777-6369
  • Fax: 412-777-6751
Mailing address:
  • Phone: 412-777-6369
  • Fax: 412-777-6751

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number78229
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD432392
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number78229
License Number StateOH
# 4
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License NumberMD432392
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: