Basic Information
| Provider Information | |||||||||
| NPI: | 1366619645 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | WINDREICH | ||||||||
| FirstName: | RANDY | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4401 PENN AVE | ||||||||
| Address2: | PLAZA BUILDING 5TH FLOOR, DEPT. OF HEMATOLOGY/ONCOLOGY | ||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 152241334 | ||||||||
| CountryCode: | US | ||||||||
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| Address1: | 4401 PENN AVE | ||||||||
| Address2: | PLAZA BUILDING 5TH FLOOR, DEPT. OF HEMATOLOGY/ONCOLOGY | ||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 152241334 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4126925055 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/15/2008 | ||||||||
| LastUpdateDate: | 05/24/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2080P0207X | MD434801 | PA | Y | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Hematology-Oncology |
No ID Information.