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Contact Information

DESHA JORDAN
4401 PENN AVE
THIRD FLOOR
PITTSBURGH, PA15224-1334
 Phone: 412-692-7885
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Allergy & Immunology

207K00000X 03 Physician/Allergy/ Immunology
 

Pediatric Allergy/Immunology

2080P0201X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for DESHA JORDAN · (Female)

NPI # 1962760322
Status Active
Credentials
Entity Individual
Enumeration date 04/23/2012
Last updated 10/06/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • PA License # MD471658
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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