MEDICARE: PITTSBURGH ENDOCRINE DIABETES ASSOCIATES P C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RE0101X	Endocrinology, Diabetes & Metabolism Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023093705
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PITTSBURGH ENDOCRINE DIABETES ASSOCIATES P C

Provider Business Mailing Address
First Line	:	363 VANADIUM RD STE 102
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15243-1477
Country	:	US
Telephone Number	:	412-221-4740
Fax Number	:	412-221-5620

Provider Business Practice Location Address
First Line	:	363 VANADIUM RD STE 102
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15243-1477
Country	:	US
Telephone Number	:	412-221-4740
Fax Number	:	412-221-5620

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. SWARNA VARMA
Credential	:	M.D.
Telephone Number	:	412-221-4740

Provider Enumeration Date	:	12/14/2005
Last Update Date	:	08/08/2023

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