Healthcare Provider Details

I. General information

NPI: 1649256926
Provider Name (Legal Business Name): ANGELO DANIEL LUPARIELLO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2005
Last Update Date: 07/07/2021
Certification Date: 07/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

372 N CRAIG ST STE 101
PITTSBURGH PA
15213-1245
US

IV. Provider business mailing address

372 N CRAIG ST STE 101
PITTSBURGH PA
15213-1245
US

V. Phone/Fax

Practice location:
  • Phone: 412-683-1278
  • Fax: 412-683-6992
Mailing address:
  • Phone: 412-683-1278
  • Fax: 412-683-6992

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberMD015449-E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: