MEDICARE: DR. KAWITA VICHARE MD

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	207Q00000X	Family Medicine Physician	MD424785	PA
2	207QG0300X	Geriatric Medicine (Family Medicine) Physician	MD424785	PA

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
2	VI1860299	OTHER	PA	HIGHMARK BCBS

General Provider Information

NPI Number	:	1043258403
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAWITA VICHARE MD

Provider Business Mailing Address
First Line	:	1010 DELAFIELD RD BLDG 70
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15215-1802
Country	:	US
Telephone Number	:	412-822-1664
Fax Number	:

Provider Business Practice Location Address
First Line	:	1010 DELAFIELD RD BLDG 51
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15215-1802
Country	:	US
Telephone Number	:	124-822-1664
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/04/2006
Last Update Date	:	10/25/2024

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Directions to “ DR. KAWITA VICHARE MD” Practice Location

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