Healthcare Provider Details
I. General information
NPI: 1386842706
Provider Name (Legal Business Name): BRYAN J FUNARI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/06/2007
Last Update Date: 07/30/2021
Certification Date: 07/06/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
UPMC CHILDREN'S HOSPITAL OF PITTSBURGH HEART INSTITUTE 4401 PENN AVENUE - FLOOR 3
PITTSBURGH PA
15224
US
IV. Provider business mailing address
UPMC CHILDREN'S HOSPITAL OF PITTSBURGH HEART INSTITUTE 4401 PENN AVENUE, 5TH FLOOR FACULTY PAVILION
PITTSBURGH PA
15224
US
V. Phone/Fax
- Phone: 412-692-5540
- Fax: 412-692-5138
- Phone: 412-692-6338
- Fax: 412-692-5138
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2080P0202X |
| Taxonomy | Pediatric Cardiology Physician |
| License Number | MD430303 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: