Provider Demographics
NPI:1912218538
Name:SRISAWAT, NATTACHAI (MD)
Entity Type:Individual
Prefix:DR
First Name:NATTACHAI
Middle Name:
Last Name:SRISAWAT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5700 CENTRE AVE
Mailing Address - Street 2:909
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-3743
Mailing Address - Country:US
Mailing Address - Phone:412-983-2916
Mailing Address - Fax:
Practice Address - Street 1:DEPARTMENT OF CRITICAL CARE MEDICINE
Practice Address - Street 2:UNIVERSITY OF PITTSBURGH MEDICAL CENTER
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15261-0001
Practice Address - Country:US
Practice Address - Phone:412-647-7980
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-29
Last Update Date:2010-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT198235207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine