Healthcare Provider Details

I. General information

NPI: 1043444938
Provider Name (Legal Business Name): HALA TFAYLI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2009
Last Update Date: 05/07/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45TH AND PENN, 3RD FLOOR CHILDREN'S HOSPITAL DRIVE
PITTSBURGH PA
15201-3156
US

IV. Provider business mailing address

200 LOTHROP ST FORBES TOWER, SUITE 9055
PITTSBURGH PA
15213-2536
US

V. Phone/Fax

Practice location:
  • Phone: 412-692-5170
  • Fax: 412-692-7665
Mailing address:
  • Phone: 412-647-3087
  • Fax: 412-647-4486

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD436563
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code2080P0205X
TaxonomyPediatric Endocrinology Physician
License NumberMD436563
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: