Healthcare Provider Details

I. General information

NPI: 1316912496
Provider Name (Legal Business Name): BIATTA SHOLOSH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/22/2006
Last Update Date: 12/05/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 LOTHROP ST 3950 CHP MT
PITTSBURGH PA
15213-2536
US

IV. Provider business mailing address

200 LOTHROP ST 3950 CHP MT
PITTSBURGH PA
15213-2536
US

V. Phone/Fax

Practice location:
  • Phone: 412-647-3512
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberMD423817
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: