Healthcare Provider Details

I. General information

NPI: 1639121197
Provider Name (Legal Business Name): RICHARD WADAS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 09/10/2026
Certification Date: 07/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UPMC PASSAVANT 9100 BABCOCK BLVD
PITTSBURGH PA
15237
US

IV. Provider business mailing address

3600 MEYRAN AVE SUITE 10028
PITTSBURGH PA
15213
US

V. Phone/Fax

Practice location:
  • Phone: 412-432-7400
  • Fax:
Mailing address:
  • Phone: 412-432-7400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMD066195L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License NumberMD066195L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: