Healthcare Provider Details

I. General information

NPI: 1336497676
Provider Name (Legal Business Name): SAWA ITO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/16/2012
Last Update Date: 04/15/2025
Certification Date: 04/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5115 CENTRE AVE
PITTSBURGH PA
15232-1301
US

IV. Provider business mailing address

5115 CENTRE AVE
PITTSBURGH PA
15232-1301
US

V. Phone/Fax

Practice location:
  • Phone: 412-623-3617
  • Fax:
Mailing address:
  • Phone: 412-779-8616
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code284300000X
TaxonomySpecial Hospital
License NumberD68827
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberMD464886
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: