Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | MD424126 | PA |
NPI | 1033190244 |
---|---|
Provider Name | Tina Musahl |
First Address | Pittsburgh, PA 15232-1300 |
Second Address | Pittsburgh, PA 15232-1300 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2005 |
Last Update Date | 25/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I05304 | (02) | PA |