Healthcare Provider Details

I. General information

NPI: 1821304221
Provider Name (Legal Business Name): DARIA L MITCHELL-SEGERS MPA, MPH, PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/23/2010
Last Update Date: 08/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 PENN AVE
PITTSBURGH PA
15221-2156
US

IV. Provider business mailing address

200 PENN AVE
PITTSBURGH PA
15221-2156
US

V. Phone/Fax

Practice location:
  • Phone: 412-242-8860
  • Fax: 412-242-8863
Mailing address:
  • Phone: 412-242-8860
  • Fax: 412-242-8863

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMA-002795L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: