Provider Demographics
NPI:1144343369
Name:TOOR, SHAISTA NASREEN (MD)
Entity type:Individual
Prefix:DR
First Name:SHAISTA
Middle Name:NASREEN
Last Name:TOOR
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1253 HOLY CROSS DR
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-4850
Mailing Address - Country:US
Mailing Address - Phone:412-373-7959
Mailing Address - Fax:412-373-2579
Practice Address - Street 1:834 4TH AVE
Practice Address - Street 2:
Practice Address - City:FORD CITY
Practice Address - State:PA
Practice Address - Zip Code:16226-1105
Practice Address - Country:US
Practice Address - Phone:724-763-1411
Practice Address - Fax:724-763-1068
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2007-07-09
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Provider Licenses
StateLicense IDTaxonomies
PAMD031141E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAE51778Medicare UPIN