Healthcare Provider Details

I. General information

NPI: 1174599773
Provider Name (Legal Business Name): KALYANI VATS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/24/2006
Last Update Date: 03/25/2021
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 HALKET ST MAGEE-WOMENS HOSPITAL
PITTSBURGH PA
15213-3108
US

IV. Provider business mailing address

300 HALKET ST MAGEE-WOMENS HOSPITAL
PITTSBURGH PA
15213-3108
US

V. Phone/Fax

Practice location:
  • Phone: 412-641-4111
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMD419401
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: