Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | MD073483L | PA |
NPI | 1316113012 |
---|---|
Provider Name | Pushpa Viswanathan |
First Address | Pittsburgh, PA 15213-2536 |
Second Address | Pittsburgh, PA 15224-1529 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2008 |
Last Update Date | 15/06/2021 |