Provider Demographics
NPI:1689712473
Name:BARAD, ROXANA F (MD)
Entity type:Individual
Prefix:DR
First Name:ROXANA
Middle Name:F
Last Name:BARAD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4424 PENN AVE
Mailing Address - Street 2:SUITE 101 AND/OR SUITE 103
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224-1340
Mailing Address - Country:US
Mailing Address - Phone:412-683-0500
Mailing Address - Fax:412-683-1943
Practice Address - Street 1:4424 PENN AVE
Practice Address - Street 2:SUITE 101 AND/OR SUITE 103
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-1340
Practice Address - Country:US
Practice Address - Phone:412-683-0500
Practice Address - Fax:412-683-1943
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2013-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD026939E207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0576090002OtherDME PALMETTO GBA
PA392488OtherNVA - PENN AVENUE
PA0010269050001Medicaid
PA100822OtherUPMC
PA392505OtherNVA - MUNHALL OFFICE
PA561777OtherPENN VISION
PA1009943OtherGATEWAY
PA1426505OtherUPMC FOR YOU
PA180019941OtherPALMETTO GBA
PABA187198OtherHIGHMARK
PA0576090001OtherDME PALMETTO GBA
PA481825OtherAETNA MEDICARE
PA15881OtherELDER HEALTH
PA251752022OtherTRICARE
PA0010269050004Medicaid
PA100822OtherUPMC
PA0010269050001Medicaid
PA392505OtherNVA - MUNHALL OFFICE