Provider Demographics
NPI:1871921650
Name:MT.LEBANON ALLERGY ASSOCIATES,INC
Entity type:Organization
Organization Name:MT.LEBANON ALLERGY ASSOCIATES,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MINAXI
Authorized Official - Middle Name:G
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-680-3125
Mailing Address - Street 1:2040 ENGLISH TURN DR
Mailing Address - Street 2:
Mailing Address - City:PRESTO
Mailing Address - State:PA
Mailing Address - Zip Code:15142-1036
Mailing Address - Country:US
Mailing Address - Phone:412-680-3125
Mailing Address - Fax:412-291-1177
Practice Address - Street 1:4160 WASHINGTON ROAD
Practice Address - Street 2:SUITE 210
Practice Address - City:MCMURRAY
Practice Address - State:PA
Practice Address - Zip Code:15317-2560
Practice Address - Country:US
Practice Address - Phone:724-942-3106
Practice Address - Fax:724-260-0014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-14
Last Update Date:2014-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD038976L207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty