Basic Information
| Provider Information | |||||||||
| NPI: | 1144487745 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SOLAVA | ||||||||
| FirstName: | JAMES | ||||||||
| MiddleName: | C | ||||||||
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| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1533 BROAD AVE | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | BELLE VERNON | ||||||||
| State: | PA | ||||||||
| PostalCode: | 150121935 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7249292260 | ||||||||
| FaxNumber: | 7249293474 | ||||||||
| Practice Location | |||||||||
| Address1: | 1533 BROAD AVE | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | BELLE VERNON | ||||||||
| State: | PA | ||||||||
| PostalCode: | 150121935 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7249292260 | ||||||||
| FaxNumber: | 7249293474 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/21/2008 | ||||||||
| LastUpdateDate: | 10/08/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/08/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | OS0014019 | PA | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.