Provider Demographics
NPI:1639377740
Name:TYAGI, SHACHI (MD, MS)
Entity Type:Individual
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First Name:SHACHI
Middle Name:
Last Name:TYAGI
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Gender:F
Credentials:MD, MS
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Mailing Address - Street 1:3471 5TH AVE
Mailing Address - Street 2:SUITE 500, KAUFMANN MEDICAL BUILDING
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-3215
Mailing Address - Country:US
Mailing Address - Phone:412-692-2360
Mailing Address - Fax:412-692-2370
Practice Address - Street 1:200 LOTHROP ST
Practice Address - Street 2:MUH, 4E
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-2536
Practice Address - Country:US
Practice Address - Phone:412-692-2360
Practice Address - Fax:412-692-2370
Is Sole Proprietor?:No
Enumeration Date:2007-07-10
Last Update Date:2015-05-13
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Provider Licenses
StateLicense IDTaxonomies
PAMD442918207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine