Provider Demographics
NPI:1144289612
Name:DIXIT, NIRANJAN D (MD)
Entity type:Individual
Prefix:
First Name:NIRANJAN
Middle Name:D
Last Name:DIXIT
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 1:220 PROFESSIONAL PLAZA II
Mailing Address - Street 2:211 EAST STREET
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401
Mailing Address - Country:US
Mailing Address - Phone:724-437-8111
Mailing Address - Fax:724-437-8112
Practice Address - Street 1:220 PROFESSIONAL PLAZA II
Practice Address - Street 2:211 EAST STREET
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401
Practice Address - Country:US
Practice Address - Phone:724-437-8111
Practice Address - Fax:724-437-8112
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD023599E207R00000X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Not Answered207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA150544Medicare ID - Type Unspecified
B39948Medicare UPIN