Provider Demographics
NPI:1366586216
Name:TEH, PEK CHIEW (MD)
Entity type:Individual
Prefix:DR
First Name:PEK
Middle Name:CHIEW
Last Name:TEH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3121 WILMINGTON RD #3
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16105-1161
Mailing Address - Country:US
Mailing Address - Phone:724-658-5456
Mailing Address - Fax:724-658-3039
Practice Address - Street 1:3121 WILMINGTON RD STE 3
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16105-1161
Practice Address - Country:US
Practice Address - Phone:724-658-5456
Practice Address - Fax:724-658-3039
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2009-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD038197L207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1024606OtherGATEWAY
PA105734OtherHIGHMARK BLUE SHIELD
PA0006400630001Medicaid
PAB366450Medicare UPIN
PA105734Medicare ID - Type Unspecified