=====================================================
General NPI Number Information
=====================================================
NPI Number | 1912672841
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ABIGAYLE BARBARA DRANKO
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/12/2021
-----------------------------------------------------
Last Update Date | 08/12/2021
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5200 CENTRE AVE
-----------------------------------------------------
City | PITTSBURGH
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15232-1300
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 412-623-1281
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 914 13TH ST
-----------------------------------------------------
City | ELIZABETH
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15037-1255
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 412-818-6420
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2086S0129X
-----------------------------------------------------
Taxonomy Name | Vascular Surgery Physician
-----------------------------------------------------
License Number | MA062327
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------