Healthcare Provider Details

I. General information

NPI: 1073031324
Provider Name (Legal Business Name): AMIT SATISH BHATTU
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2017
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1350 LOCUST ST STE G110A
PITTSBURGH PA
15219-4738
US

IV. Provider business mailing address

1350 LOCUST ST STE G110A
PITTSBURGH PA
15219-4738
US

V. Phone/Fax

Practice location:
  • Phone: 412-232-5850
  • Fax: 412-232-5940
Mailing address:
  • Phone: 412-232-5850
  • Fax: 412-232-5940

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License NumberMD470733
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: