Provider Demographics
NPI:1740010131
Name:TALEKAR, SHRUTI SATISH
Entity type:Individual
Prefix:
First Name:SHRUTI
Middle Name:SATISH
Last Name:TALEKAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 GAMMA DR STE 501
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15238-2926
Mailing Address - Country:US
Mailing Address - Phone:724-715-6469
Mailing Address - Fax:
Practice Address - Street 1:1000 GAMMA DR STE 501
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15238-2926
Practice Address - Country:US
Practice Address - Phone:724-715-6469
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-01
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health