Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MD049597L | PA |
Y | 2080P0202X | Pediatric Cardiologist | MD049597L | PA |
NPI | 1033193933 |
---|---|
Provider Name | Dr. Vijaya G Seshadri |
First Address | Murrysville, PA 15668-9799 |
Second Address | Murrysville, PA 15668-1954 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/12/2005 |
Last Update Date | 30/03/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001047830-0011 | (05) | PA |
S67171 | (02) | PA |