Healthcare Provider Details

I. General information

NPI: 1932199593
Provider Name (Legal Business Name): HEDWIG MARWAHA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/25/2005
Last Update Date: 12/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

651 CANTERBURY LN
SEWICKLEY PA
15143-1222
US

IV. Provider business mailing address

651 CANTERBURY LN
SEWICKLEY PA
15143-1222
US

V. Phone/Fax

Practice location:
  • Phone: 412-741-3032
  • Fax:
Mailing address:
  • Phone: 412-741-3032
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD015308E
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier0677143
Identifier TypeMEDICAID
Identifier StatePA
Identifier Issuer

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: