Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | MD429838 | PA |
NPI | 1013934058 |
---|---|
Provider Name | Gopala Ramineni |
First Address | Pittsburgh, PA 15203-2348 |
Second Address | Indiana, PA 15701-3662 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2006 |
Last Update Date | 15/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I39347 | (02) |