Healthcare Provider Details

I. General information

NPI: 1578564019
Provider Name (Legal Business Name): DULABH KAUR MONGA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DULABH K. HANS MD

II. Dates (important events)

Enumeration Date: 08/09/2005
Last Update Date: 10/28/2020
Certification Date: 10/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

314 E NORTH AVE LEVEL ONE
PITTSBURGH PA
15212-4756
US

IV. Provider business mailing address

247 MOREWOOD AVE
PITTSBURGH PA
15213-1861
US

V. Phone/Fax

Practice location:
  • Phone: 412-325-5700
  • Fax: 412-442-2570
Mailing address:
  • Phone: 412-622-0290
  • Fax: 412-681-7605

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License NumberMD421518
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: