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NPI Code Detail

MEDICARE: DR. ANURADHA GOWDA MD

MEDICARE: DR. ANURADHA GOWDA 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
1207R00000XInternal Medicine Physician060383LPA

Other Identifiers

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

General Provider Information

NPI Number : 1164459699
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANURADHA GOWDA MD
Provider Business Mailing Address
First Line : 11618 FRANKSTOWN RD
Second Line :
City : PITTSBURGH
State : PA
Zip : 15235-3319
Country : US
Telephone Number : 412-731-7170
Fax Number : 412-731-7172
Provider Business Practice Location Address
First Line : 11618 FRANKSTOWN RD
Second Line :
City : PITTSBURGH
State : PA
Zip : 15235-3319
Country : US
Telephone Number : 412-731-7170
Fax Number : 412-731-7172
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2006
Last Update Date : 07/08/2007

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