Healthcare Provider Details

I. General information

NPI: 1558818955
Provider Name (Legal Business Name): MAIN LIN QUAN VEGA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2016
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2347 FIFTH AVENUE
MCKEESPORT PA
15132
US

IV. Provider business mailing address

3600 FORBES AVENUE FORBES TOWER - PLAZA LEVEL SUITE 140
PITTSBURGH PA
15213
US

V. Phone/Fax

Practice location:
  • Phone: 412-673-5504
  • Fax: 412-673-2150
Mailing address:
  • Phone: 412-647-6340
  • Fax: 412-647-5809

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number16813
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: