Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | MD071624L | PA |
NPI | 1043328172 |
---|---|
Provider Name | Dr. Christianna Maria Kreiss |
First Address | Pittsburgh, PA 15232-2008 |
Second Address | Pittsburgh, PA 15240 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H57963 | (02) | PA |