Healthcare Provider Details

I. General information

NPI: 1932106077
Provider Name (Legal Business Name): CARLTON BATES
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: CARL M BATES M.D.

II. Dates (important events)

Enumeration Date: 07/05/2005
Last Update Date: 05/28/2021
Certification Date: 09/25/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UPMC CHILDREN'S HOSPITAL OF PITTSBURGH 4401 PENN AVENUE, RANGOS 5TH FLOOR, ROOM 5130
PITTSBURGH PA
15201
US

IV. Provider business mailing address

UPMC CHILDREN'S HOSPITAL OF PITTSBURGH 4401 PENN AVENUE, RANGOS 5TH FLOOR, ROOM 5130
PITTSBURGH PA
15201
US

V. Phone/Fax

Practice location:
  • Phone: 412-692-9440
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0210X
TaxonomyPediatric Nephrology Physician
License NumberMD435647
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: