| Michael A Kwiat Md | |
|
1360 Sharon Rd Beaver PA 15009-3128 | |
| (724) 773-0216 | |
| (724) 773-0219 |
| Full Name | Michael A Kwiat Md |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1360 Sharon Rd, Beaver, Pennsylvania |
| Authorized Official Name and Position | Michael A Kwiat (OWNER) |
| Authorized Official Contact | 7247730216 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael A Kwiat Md 1360 Sharon Rd Beaver PA 15009-3128 Ph: (724) 773-0216 | Michael A Kwiat Md 1360 Sharon Rd Beaver PA 15009-3128 Ph: (724) 773-0216 |
| NPI Number | 1144401340 |
|---|---|
| Provider Enumeration Date | 11/16/2007 |
| Last Update Date | 05/02/2008 |
| Medicare PECOS PAC ID | 2466493895 |
|---|---|
| Medicare Enrollment ID | O20050517000139 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144401340 | NPI | - | NPPES |
| 1695767 | Other | PA | TRADITIONAL BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD043875L (Pennsylvania) | Primary |
| Provider Name | Michael A Kwiat |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366491094 PECOS PAC ID: 8527009125 Enrollment ID: I20050513000164 |
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