Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | MT224053 | PA |
NPI | 1013580729 |
---|---|
Provider Name | Sruthi Rangu |
First Address | Pittsburgh, PA 15219-4715 |
Second Address | Pittsburgh, PA 15212-4756 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2021 |
Last Update Date | 20/07/2021 |