Healthcare Provider Details

I. General information

NPI: 1467424887
Provider Name (Legal Business Name): MAHER O AYYASH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/02/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3811 OHARA ST SUITE 1135-E
PITTSBURGH PA
15213-2593
US

IV. Provider business mailing address

2605 DOGWOOD CT
WEXFORD PA
15090-7700
US

V. Phone/Fax

Practice location:
  • Phone: 412-624-1000
  • Fax:
Mailing address:
  • Phone: 412-777-6420
  • Fax: 412-777-6419

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMD419179
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: