Provider Demographics
NPI:1144588245
Name:SANGIMINO, URSULA RIPEPI (MD)
Entity Type:Individual
Prefix:DR
First Name:URSULA
Middle Name:RIPEPI
Last Name:SANGIMINO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:714 WINTER PINE DR
Mailing Address - Street 2:SUITE #301
Mailing Address - City:MARS
Mailing Address - State:PA
Mailing Address - Zip Code:16046-3952
Mailing Address - Country:US
Mailing Address - Phone:412-980-1728
Mailing Address - Fax:
Practice Address - Street 1:212 9TH ST
Practice Address - Street 2:SUITE #301
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15222-3517
Practice Address - Country:US
Practice Address - Phone:412-456-6928
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-26
Last Update Date:2016-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD-071865-L208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice