Healthcare Provider Details

I. General information

NPI: 1225728728
Provider Name (Legal Business Name): ELIZABETH DRDA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2023
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

810 CLAIRTON BLVD STE 100
PITTSBURGH PA
15236-5505
US

IV. Provider business mailing address

810 CLAIRTON BLVD STE 100
PITTSBURGH PA
15236-5505
US

V. Phone/Fax

Practice location:
  • Phone: 412-466-5004
  • Fax: 412-466-7137
Mailing address:
  • Phone: 412-466-5004
  • Fax: 412-466-7137

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD495987
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberR80191
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: