Provider Demographics
NPI:1518118355
Name:FERNANDES, CAROLYN RODNEY (MD)
Entity Type:Individual
Prefix:
First Name:CAROLYN
Middle Name:RODNEY
Last Name:FERNANDES
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 1:3601, FIFTH AVENUE
Mailing Address - Street 2:FALK MEDICAL BLDG, 7TH FLOOR
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213
Mailing Address - Country:US
Mailing Address - Phone:412-648-6273
Mailing Address - Fax:412-952-5960
Practice Address - Street 1:3601, FIFTH AVENUE
Practice Address - Street 2:FALK MEDICAL BLDG, 7TH FLOOR
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-1521
Practice Address - Country:US
Practice Address - Phone:412-647-7228
Practice Address - Fax:412-647-7951
Is Sole Proprietor?:No
Enumeration Date:2008-10-09
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT189882390200000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program