Basic Information
| Provider Information | |||||||||
| NPI: | 1609849439 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GHUMAN | ||||||||
| FirstName: | HARINDER | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 228 ALAQUA DR | ||||||||
| Address2: | |||||||||
| City: | SEWICKLEY | ||||||||
| State: | PA | ||||||||
| PostalCode: | 151439395 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4123510222 | ||||||||
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| Practice Location | |||||||||
| Address1: | 723 BRADDOCK AVE | ||||||||
| Address2: | TURTLE CREEK VALLEY MENTAL HEALTH/MENTAL RETARDATION | ||||||||
| City: | BRADDOCK | ||||||||
| State: | PA | ||||||||
| PostalCode: | 151041849 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4123510222 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/10/2006 | ||||||||
| LastUpdateDate: | 05/06/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0804X | 30993 | AZ | Y | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Child & Adolescent Psychiatry |
ID Information
| ID | Type | State | Issuer | Description | 260052247 | 01 | AZ | RAILROAD MEDICARE | OTHER | 772229 | 05 | AZ | MEDICAID |