Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | MD436803 | PA |
NPI | 1396939328 |
---|---|
Provider Name | Gavin Hickey |
First Address | Pittsburgh, PA 15213 |
Second Address | Pittsburgh, PA 15213-2536 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/09/2007 |
Last Update Date | 29/03/2021 |