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NPI Code Detail

MEDICARE: DR. KATHERINE HOMROK MD

MEDICARE: DR. KATHERINE HOMROK MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianMD0447701EPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1376541375
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATHERINE HOMROK MD
Provider Business Mailing Address
First Line : 1789 S BRADDOCK AVE STE 410
Second Line :
City : PITTSBURGH
State : PA
Zip : 15218-1881
Country : US
Telephone Number : 412-247-2310
Fax Number : 412-247-2373
Provider Business Practice Location Address
First Line : 1789 S BRADDOCK AVE STE 410
Second Line :
City : PITTSBURGH
State : PA
Zip : 15218-1881
Country : US
Telephone Number : 412-247-2310
Fax Number : 412-247-2373
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2005
Last Update Date : 03/15/2021

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