Provider Demographics
NPI:1265494454
Name:MULHERKAR, AMITA H (MD)
Entity type:Individual
Prefix:
First Name:AMITA
Middle Name:H
Last Name:MULHERKAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2591 WEXFORD BAYNE ROAD
Mailing Address - Street 2:SPECTRA BLD II SUITE 206
Mailing Address - City:SEWICKLEY
Mailing Address - State:PA
Mailing Address - Zip Code:15143
Mailing Address - Country:US
Mailing Address - Phone:724-935-2620
Mailing Address - Fax:724-935-8599
Practice Address - Street 1:2591 WEXFORD BAYNE ROAD
Practice Address - Street 2:SPECTRA BLD II SUITE 206
Practice Address - City:SEWICKLEY
Practice Address - State:PA
Practice Address - Zip Code:15143
Practice Address - Country:US
Practice Address - Phone:724-935-2620
Practice Address - Fax:724-935-8599
Is Sole Proprietor?:No
Enumeration Date:2006-04-04
Last Update Date:2007-10-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD427192207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAI41661Medicare UPIN
PA094585H55Medicare ID - Type Unspecified