Provider Demographics
NPI:1225028418
Name:NAIR, SREELATHA C (MD)
Entity Type:Individual
Prefix:DR
First Name:SREELATHA
Middle Name:C
Last Name:NAIR
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 1:2027 LEBANON CHURCH RD
Mailing Address - Street 2:CENTURY III MEDICAL ASSOCIATES
Mailing Address - City:WEST MIFFLIN
Mailing Address - State:PA
Mailing Address - Zip Code:15122-2461
Mailing Address - Country:US
Mailing Address - Phone:412-655-6403
Mailing Address - Fax:412-655-6400
Practice Address - Street 1:320 E NORTH AVE
Practice Address - Street 2:ALLEGHENY HOSPITAL MEDICINE SPECIALISTS
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15212-4756
Practice Address - Country:US
Practice Address - Phone:412-359-3030
Practice Address - Fax:412-359-3060
Is Sole Proprietor?:No
Enumeration Date:2005-10-27
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD062623207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0016923310001Medicaid
PAG60290Medicare UPIN
PA002487R7RMedicare PIN