Healthcare Provider Details

I. General information

NPI: 1275594210
Provider Name (Legal Business Name): NATRONA HEIGHTS OBGYN INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1709 UNION AVE
NATRONA HEIGHTS PA
15065
US

IV. Provider business mailing address

1709 UNION AVE
NATRONA HEIGHTS PA
15065
US

V. Phone/Fax

Practice location:
  • Phone: 724-226-8711
  • Fax: 724-226-0555
Mailing address:
  • Phone: 724-226-8711
  • Fax: 724-226-0555

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DATAR SINGH
Title or Position: PRESIDENT OWNER
Credential: MD
Phone: 724-226-8711