Provider Demographics
NPI:1144291329
Name:HADEED, VENUS A (MD)
Entity type:Individual
Prefix:
First Name:VENUS
Middle Name:A
Last Name:HADEED
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 HOT METAL ST
Mailing Address - Street 2:QUANTUM ONE, N431
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15203-2348
Mailing Address - Country:US
Mailing Address - Phone:412-432-5806
Mailing Address - Fax:412-432-7691
Practice Address - Street 1:2580 HAYMAKER RD
Practice Address - Street 2:SUITE 106
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-3518
Practice Address - Country:US
Practice Address - Phone:412-374-1441
Practice Address - Fax:412-374-1443
Is Sole Proprietor?:No
Enumeration Date:2006-01-27
Last Update Date:2009-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD050329L207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0016506090005Medicaid
PA0016506090004Medicaid
NM01752774Medicaid
PA10765177OtherCAQH
PA953139OtherHIGHMARK BS
OH2524889Medicaid
PA0016506090005Medicaid
PA0016506090004Medicaid
PA990006347Medicare PIN