Provider Demographics
NPI:1538485388
Name:UNIVERSITY OF PITTSBURGH MEDICAL CENTER
Entity Type:Organization
Organization Name:UNIVERSITY OF PITTSBURGH MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHA
Authorized Official - Middle Name:
Authorized Official - Last Name:WARDHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-314-8010
Mailing Address - Street 1:56 HILLSIDE PLACE
Mailing Address - Street 2:APT 2
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06511
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:56 HILLSIDE PL
Practice Address - Street 2:APT 2
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511-3575
Practice Address - Country:US
Practice Address - Phone:203-314-8010
Practice Address - Fax:203-789-0567
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-19
Last Update Date:2010-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT048202282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital