Provider Demographics
NPI:1568426120
Name:CANTELLOPS, DIANA (MD)
Entity Type:Individual
Prefix:DR
First Name:DIANA
Middle Name:
Last Name:CANTELLOPS
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:UPMC HEART AND VASCULAR INSTITUTE
Mailing Address - Street 2:3600 MEYRAN AVENUE, FORBES TOWER, SUITE 9055
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213
Mailing Address - Country:US
Mailing Address - Phone:724-981-6810
Mailing Address - Fax:724-983-7007
Practice Address - Street 1:480 N. KERRWOOD DR. SUITE 103
Practice Address - Street 2:
Practice Address - City:HERMITAGE
Practice Address - State:PA
Practice Address - Zip Code:16148
Practice Address - Country:US
Practice Address - Phone:724-981-6810
Practice Address - Fax:724-981-5617
Is Sole Proprietor?:No
Enumeration Date:2006-04-12
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA433168174400000X
PAMD433168174400000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRF20133Medicare UPIN
PR0082816Medicare ID - Type UnspecifiedID MEDICARE