Healthcare Provider Details

I. General information

NPI: 1326007295
Provider Name (Legal Business Name): MAYA T NIMGAONKAR M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MAYA NIMGAONKAR M.D.

II. Dates (important events)

Enumeration Date: 03/20/2006
Last Update Date: 08/24/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

969 GREENTREE RD
PITTSBURGH PA
15220-3328
US

IV. Provider business mailing address

969 GREENTREE RD
PITTSBURGH PA
15220-3328
US

V. Phone/Fax

Practice location:
  • Phone: 412-920-0700
  • Fax: 412-920-0947
Mailing address:
  • Phone: 412-920-0700
  • Fax: 412-920-0947

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License NumberMD056130L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: