Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | MD424542 | PA |
NPI | 1164561379 |
---|---|
Provider Name | Dinakar Golla |
First Address | Pittsburgh, PA 15238-2917 |
Second Address | Pittsburgh, PA 15238-2917 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/02/2007 |
Last Update Date | 02/06/2010 |