Healthcare Provider Details

I. General information

NPI: 1942271358
Provider Name (Legal Business Name): NADIA AMEEN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/01/2006
Last Update Date: 04/15/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3705 5TH AVE ROOM 3200DW
PITTSBURGH PA
15213-2524
US

IV. Provider business mailing address

333 CEDAR ST ROOM SMP 408
NEW HAVEN CT
06510-3206
US

V. Phone/Fax

Practice location:
  • Phone: 412-692-5180
  • Fax:
Mailing address:
  • Phone: 203-785-4649
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0206X
TaxonomyPediatric Gastroenterology Physician
License Number031638
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: