Basic Information
| Provider Information | |||||||||
| NPI: | 1306003942 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ESPANDAR | ||||||||
| FirstName: | LADAN | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2 HOT METAL ST | ||||||||
| Address2: | QUANTUM ONE - PEC - SUITE 001 | ||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 152032348 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4126473087 | ||||||||
| FaxNumber: | 4124325640 | ||||||||
| Practice Location | |||||||||
| Address1: | 203 LOTHROP ST | ||||||||
| Address2: | 7TH FLOOR EEINS | ||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 152132548 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4126472214 | ||||||||
| FaxNumber: | 4126470997 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/21/2008 | ||||||||
| LastUpdateDate: | 04/14/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207W00000X | 2012-01232 | NC | N | Allopathic & Osteopathic Physicians | Ophthalmology | 207W00000X | MD452481 | PA | Y | Allopathic & Osteopathic Physicians | Ophthalmology |
ID Information
| ID | Type | State | Issuer | Description | 102946010 | 05 | PA | MEDICAID |