Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD472854 | PA |
N | 111NI0900X | Internist | MD472854 | PA |
Y | 207RG0300X | Geriatric Medicine | MD472854 | PA |
NPI | 1033643473 |
---|---|
Provider Name | Ishani De |
First Address | Pittsburgh, PA 15213-3410 |
Second Address | Pittsburgh, PA 15213-2536 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2017 |
Last Update Date | 19/08/2021 |