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Dr. Supote S Komen, MD
Cardiovascular Disease Physician in Monongahela, Pennsylvania
NPI 1508852914

Supote S Komen is a Cardiovascular Disease Physician based in Monongahela, PA and is specialized in Cardiovascular Disease. Supote S Komen practices in Monongahela, PA and has the professional credentials of MD. The NPI Number for Supote S Komen is 1508852914 and holds a License No. MD019272E (Pennsylvania).

The current practice location address for Supote S Komen is 1025 Country Club Rd, Monongahela, PA and can be reached out via phone at 724-258-8040 and via fax at 724-258-2410.

Location: 1025 Country Club Rd, Monongahela, PA, 15063-1553
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508852914
Provider Name
Supote S Komen
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1025 Country Club Rd, Monongahela, PA, 15063-1553
Phone Number
724-258-8040
Fax Number
724-258-2410
Provider Enumeration Date
09/21/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0691705 05 PA
institution
Provider Business Practice Location Address Details
Address
1025 Country Club Rd
City
Monongahela
State
Pennsylvania
Zip
15063-1553
Phone Number
724-258-8040
Fax Number
724-258-2410
person
Provider Business Mailing Address Details
Address
1025 Country Club Rd
City
Monongahela
State
Pennsylvania
Zip
15063-1553
Phone Number
724-258-8040
Fax Number
724-258-2410
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
MD019272E (Pennsylvania)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
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