Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | MD049251L | PA |
NPI | 1033137542 |
---|---|
Provider Name | Nangali S Srinivasa |
First Address | Pittsburgh, PA 15224-2215 |
Second Address | Pittsburgh, PA 15224-2215 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2006 |
Last Update Date | 17/06/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
129032601 | (05) | PA |
F34290 | (02) | PA |