Provider Demographics
NPI:1710226758
Name:CONTRERA, KEVIN JAMES (MD, MPH)
Entity Type:Individual
Prefix:
First Name:KEVIN
Middle Name:JAMES
Last Name:CONTRERA
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DEPARTMENT OF OTOLARYNGOLOGY
Mailing Address - Street 2:5200 CENTRE AVENUE, SUITE 211
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15232
Mailing Address - Country:US
Mailing Address - Phone:412-647-2100
Mailing Address - Fax:
Practice Address - Street 1:DEPARTMENT OF OTOLARYNGOLOGY
Practice Address - Street 2:5200 CENTRE AVENUE
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15232
Practice Address - Country:US
Practice Address - Phone:412-647-2100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-12
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD481305207Y00000X, 2086X0206X
TXS9480207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology