Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD463363 | PA |
N | 111NI0900X | Internist | MD463363 | PA |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | MD463363 | PA |
NPI | 1285964437 |
---|---|
Provider Name | Dr. Aditya Bhonsale |
First Address | Pittsburgh, PA 15213 |
Second Address | Pittsburgh, PA 15213-2546 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/01/2010 |
Last Update Date | 18/06/2019 |