Healthcare Provider Details

I. General information

NPI: 1740278845
Provider Name (Legal Business Name): NITIN KAMAT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2005
Last Update Date: 03/25/2021
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3459 5TH AVE SUITE 203
PITTSBURGH PA
15213-3236
US

IV. Provider business mailing address

3459 5TH AVE SUITE 203
PITTSBURGH PA
15213-3236
US

V. Phone/Fax

Practice location:
  • Phone: 412-647-3118
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberMD417036
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: