Healthcare Provider Details

I. General information

NPI: 1801071469
Provider Name (Legal Business Name): VIJAYA G SESHADRI P C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/02/2008
Last Update Date: 01/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1265 WAYNE AVE 119 PROFESSIONAL CENTER, SUITE 306
INDIANA PA
15701-3501
US

IV. Provider business mailing address

1910 COCHRAN RD SUITE 600
PITTSBURGH PA
15220-1203
US

V. Phone/Fax

Practice location:
  • Phone: 724-387-1255
  • Fax: 724-325-6325
Mailing address:
  • Phone: 412-563-8800
  • Fax: 412-563-8219

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. VIJAYA G SESHADRI
Title or Position: OWNER
Credential: M.D.
Phone: 724-387-1255