Healthcare Provider Details

I. General information

NPI: 1306831508
Provider Name (Legal Business Name): RAMANA SURAMPUDI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2005
Last Update Date: 01/21/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 FRIENDSHIP AVE ALLEGHENY PATHOLOGY ASSOCIATES
PITTSBURGH PA
15224-1722
US

IV. Provider business mailing address

4800 FRIENDSHIP AVE PATHOLOGY WESTERN PENNA HOSPITAL
PITTSBURGH PA
15224-1722
US

V. Phone/Fax

Practice location:
  • Phone: 412-578-7120
  • Fax: 412-578-4526
Mailing address:
  • Phone: 412-578-7120
  • Fax: 412-578-4526

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZC0500X
TaxonomyCytopathology Physician
License NumberMD035264L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberMD035264L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: