MEDICARE: RANJITA PALLAVI M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0000X	Hematology (Internal Medicine) Physician	27415	WV
2	390200000X	Student in an Organized Health Care Education/Training Program
3	207RX0202X	Medical Oncology Physician	27415	WV

General Provider Information

NPI Number	:	1063760676
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RANJITA PALLAVI M.D

Provider Business Mailing Address
First Line	:	247 MOREWOOD AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15213-1861
Country	:	US
Telephone Number	:	412-622-0290
Fax Number	:	412-681-7605

Provider Business Practice Location Address
First Line	:	3 ROBINSON PLZ STE 430
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15205-1018
Country	:	US
Telephone Number	:	412-325-5500
Fax Number	:	412-489-8050

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/29/2012
Last Update Date	:	12/04/2020

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