Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | MD443662 | PA |
NPI | 1013284835 |
---|---|
Provider Name | Dr. Kanwal K Nischal |
First Address | Pittsburgh, PA 15213-2548 |
Second Address | Pittsburgh, PA 15224-1334 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/11/2011 |
Last Update Date | 22/11/2011 |