Healthcare Provider Details

I. General information

NPI: 1669738472
Provider Name (Legal Business Name): ANUPAMAA SESHADRI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2012
Last Update Date: 05/24/2021
Certification Date: 08/26/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3550 TERRACE ST SCAIFE HALL ROOM 651
PITTSBURGH PA
15213-2500
US

IV. Provider business mailing address

3600 FORBES AVE FORBES TOWER PLAZA LEVEL SUITE 140
PITTSBURGH PA
15213-3410
US

V. Phone/Fax

Practice location:
  • Phone: 412-647-3136
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0127X
TaxonomyTrauma Surgery Physician
License NumberMD471278
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: