Healthcare Provider Details

I. General information

NPI: 1578581930
Provider Name (Legal Business Name): DAVID R HAKAS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 08/07/2026
Certification Date: 07/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5171 LIBERTY AVE
PITTSBURGH PA
15224-2254
US

IV. Provider business mailing address

5171 LIBERTY AVE
PITTSBURGH PA
15224-2254
US

V. Phone/Fax

Practice location:
  • Phone: 412-683-4550
  • Fax: 412-246-4567
Mailing address:
  • Phone: 412-683-4550
  • Fax: 412-246-4567

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberMD068939L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMD-068939-L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: