Provider Demographics
NPI:1518996743
Name:SAQUIN, RAINELDO C (MD)
Entity type:Individual
Prefix:DR
First Name:RAINELDO
Middle Name:C
Last Name:SAQUIN
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 1:30 LAUREL AVE
Mailing Address - Street 2:
Mailing Address - City:KANE
Mailing Address - State:PA
Mailing Address - Zip Code:16735-1620
Mailing Address - Country:US
Mailing Address - Phone:814-837-7086
Mailing Address - Fax:
Practice Address - Street 1:33 MAIN DR
Practice Address - Street 2:
Practice Address - City:NORTH WARREN
Practice Address - State:PA
Practice Address - Zip Code:16365-5001
Practice Address - Country:US
Practice Address - Phone:814-726-4317
Practice Address - Fax:814-726-4447
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-01
Last Update Date:2008-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD035251L207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
010053207OtherRAILROAD MEDICARE #
103722Medicare PIN
010053207OtherRAILROAD MEDICARE #