Provider Demographics
NPI:1528028008
Name:PRATT, VERONICA M (MD)
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:M
Last Name:PRATT
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:200 LOTHROP ST
Mailing Address - Street 2:SUITE 9055 FORBES TOWER
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-2536
Mailing Address - Country:US
Mailing Address - Phone:412-647-3087
Mailing Address - Fax:412-647-4486
Practice Address - Street 1:400 OXFORD DR
Practice Address - Street 2:SUITE 202
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-2351
Practice Address - Country:US
Practice Address - Phone:412-380-5040
Practice Address - Fax:412-380-5041
Is Sole Proprietor?:No
Enumeration Date:2006-03-27
Last Update Date:2013-02-14
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Provider Licenses
StateLicense IDTaxonomies
PAMD063162L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0017014680004Medicaid
PA0017014680004Medicaid
G75635Medicare UPIN