Basic Information
Provider Information
NPI: 1790215952
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KOVACS
FirstName: JOSEPH
MiddleName: JOHN
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: UPMC MONTEFIORE HOSPITAL, N715
Address2: 200 LOTHROP STREET
City: PITTSBURGH
State: PA
PostalCode: 15213
CountryCode: US
TelephoneNumber: 4126924942
FaxNumber: 4126924944
Practice Location
Address1: UNIVERSITY DRIVE C
Address2:  
City: PITTSBURGH
State: PA
PostalCode: 15240
CountryCode: US
TelephoneNumber: 4128222222
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/19/2017
LastUpdateDate: 06/29/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/29/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000XMT213675PAN Student, Health CareStudent in an Organized Health Care Education/Training Program 
207R00000XMD470805PAY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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