Provider Demographics
NPI:1831138866
Name:ALLADA, VIVEKANAND (MD)
Entity Type:Individual
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First Name:VIVEKANAND
Middle Name:
Last Name:ALLADA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:200 LOTHROP ST
Mailing Address - Street 2:FORBES TOWER SUITE 9055
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-2546
Mailing Address - Country:US
Mailing Address - Phone:412-647-3087
Mailing Address - Fax:412-647-4486
Practice Address - Street 1:4401 PENN AVE
Practice Address - Street 2:CHILDREN'S HOSPITAL OF PITTSBURGH OF UPMC
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-1334
Practice Address - Country:US
Practice Address - Phone:412-692-3216
Practice Address - Fax:412-692-5138
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2015-02-26
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Provider Licenses
StateLicense IDTaxonomies
PAMD4290112080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF38973Medicare UPIN