Basic Information
Provider Information
NPI: 1255742227
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TEMEME
FirstName: DANOUSHKA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
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Mailing Information
Address1: 3600 FORBES AVENUE
Address2: FORBES TOWER- PLAZA LEVEL SUITE 140
City: PITTSBURGH
State: PA
PostalCode: 15213
CountryCode: US
TelephoneNumber: 9198433133
FaxNumber: 9199662922
Practice Location
Address1: 120 EAST SECOND ST.
Address2: 3RD FLOOR
City: ERIE
State: PA
PostalCode: 16507
CountryCode: US
TelephoneNumber: 9198433133
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/13/2014
LastUpdateDate: 11/20/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: Y
IsOrganizationSubpart:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X NCN Student, Health CareStudent in an Organized Health Care Education/Training Program 
2084V0102XMD465405PAY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyVascular Neurology
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 

No ID Information.


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