Provider Demographics
NPI:1174557490
Name:SUKHDEV S. GROVER, MD ASSOCIATES
Entity type:Organization
Organization Name:SUKHDEV S. GROVER, MD ASSOCIATES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SUKHDEV
Authorized Official - Middle Name:S
Authorized Official - Last Name:GROVER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-274-4320
Mailing Address - Street 1:2640 PITCAIRN RD
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-3309
Mailing Address - Country:US
Mailing Address - Phone:724-274-4320
Mailing Address - Fax:724-274-4332
Practice Address - Street 1:2640 PITCAIRN RD
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-3309
Practice Address - Country:US
Practice Address - Phone:724-274-4320
Practice Address - Fax:724-274-4332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2021-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD033946L207RS0012X
207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0007332980006Medicaid
PA0000000072324OtherUNISON
PA1001135OtherGATEWAY
PA008512OtherHIGHMARK
PACC1786OtherPALMETTO GBA
PA0080320OtherAETNA
PA100943OtherUPMC
PA1001135OtherGATEWAY
PAC31129Medicare UPIN
PAC29472Medicare UPIN
PA008512OtherHIGHMARK
PAF26211Medicare UPIN
PAG88156Medicare UPIN
PA008512Medicare ID - Type Unspecified
PA100943OtherUPMC