Healthcare Provider Details

I. General information

NPI: 1144545872
Provider Name (Legal Business Name): NOSHEEN FAHD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NOSHEEN KHALID MD

II. Dates (important events)

Enumeration Date: 04/06/2010
Last Update Date: 02/11/2022
Certification Date: 02/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2570 HAYMAKER RD
MONROEVILLE PA
15146-3513
US

IV. Provider business mailing address

3824 NORTHERN PIKE STE 700
MONROEVILLE PA
15146-2184
US

V. Phone/Fax

Practice location:
  • Phone: 412-858-7618
  • Fax: 412-858-7628
Mailing address:
  • Phone: 412-457-0060
  • Fax: 412-457-0067

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 State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD450066
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: