Provider Demographics
NPI:1295737641
Name:KAIRIS, EDWIN JAMES (MD)
Entity type:Individual
Prefix:DR
First Name:EDWIN
Middle Name:JAMES
Last Name:KAIRIS
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 1:600 GRANT ST FL 41
Mailing Address - Street 2:US STEEL TOWER
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15219-2713
Mailing Address - Country:US
Mailing Address - Phone:412-255-4640
Mailing Address - Fax:412-255-4260
Practice Address - Street 1:600 GRANT ST FL 41
Practice Address - Street 2:US STEEL TOWER
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219-2713
Practice Address - Country:US
Practice Address - Phone:412-255-4640
Practice Address - Fax:412-255-4260
Is Sole Proprietor?:No
Enumeration Date:2005-08-15
Last Update Date:2010-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD056020L208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAG10388Medicare UPIN