Healthcare Provider Details

I. General information

NPI: 1003769985
Provider Name (Legal Business Name): DR. ABHIRAM CHERUKUPALLI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/19/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

203 LOTHROP ST, UPMC CENTER FOR CRANIAL BASE SURGERY-TH SUITE 521
PITTSBURGH PA
15213
US

IV. Provider business mailing address

5515 BAUM BLVD APARTMENT #1
PITTSBUGH PA
15232
US

V. Phone/Fax

Practice location:
  • Phone: 412-647-8186
  • Fax:
Mailing address:
  • Phone: 604-916-7656
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberMD496516
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: