Healthcare Provider Details

I. General information

NPI: 1437265303
Provider Name (Legal Business Name): NAMITA AHUJA YENDE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NAMITA AHUJA

II. Dates (important events)

Enumeration Date: 08/22/2006
Last Update Date: 09/09/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5230 CENTRE AVE
PITTSBURGH PA
15232-1304
US

IV. Provider business mailing address

200 LOTHROP ST
PITTSBURGH PA
15213-2536
US

V. Phone/Fax

Practice location:
  • Phone: 412-623-2700
  • Fax:
Mailing address:
  • Phone: 412-647-3087
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License NumberMD426559
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: