Healthcare Provider Details

I. General information

NPI: 1932026317
Provider Name (Legal Business Name): ALISHA KHATIWADA RDH, PHDHP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4516 BROWNS HILL RD
PITTSBURGH PA
15217-2917
US

IV. Provider business mailing address

460 WASHINGTON RD APT 703
PITTSBURGH PA
15228-2809
US

V. Phone/Fax

Practice location:
  • Phone: 412-697-7997
  • Fax:
Mailing address:
  • Phone: 412-697-7997
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License NumberDH075695
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: