Healthcare Provider Details

I. General information

NPI: 1174211353
Provider Name (Legal Business Name): DREW MULLINS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2023
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 HALKET ST STE 4710
PITTSBURGH PA
15213-3108
US

IV. Provider business mailing address

300 HALKET ST STE 4710
PITTSBURGH PA
15213-3108
US

V. Phone/Fax

Practice location:
  • Phone: 412-641-7200
  • Fax: 412-641-7201
Mailing address:
  • Phone: 412-641-7200
  • Fax: 412-641-7201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD495807
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: