Healthcare Provider Details

I. General information

NPI: 1740276997
Provider Name (Legal Business Name): TOMAS H URBANO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 09/23/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

565 COAL VALLEY RD
PITTSBURGH PA
15236
US

IV. Provider business mailing address

1699 WASHINGTON RD SUITE 400
PITTSBURGH PA
15228-1629
US

V. Phone/Fax

Practice location:
  • Phone: 412-851-1820
  • Fax: 412-851-1822
Mailing address:
  • Phone: 412-851-1820
  • Fax: 412-851-1822

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberMD034952L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: