Healthcare Provider Details

I. General information

NPI: 1790362648
Provider Name (Legal Business Name): BENJAMIN LEE HAMEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2021
Last Update Date: 04/01/2024
Certification Date: 03/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4401 PENN AVE ADMINISTRATIVE OFFICE BUILDING SUITE 3300
PITTSBURGH PA
15224
US

IV. Provider business mailing address

3600 FORBES AVE STE 140
PITTSBURGH PA
15213-3410
US

V. Phone/Fax

Practice location:
  • Phone: 412-692-7885
  • Fax: 412-692-8499
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number31577
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number71953
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: