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NPI Code Detail

MEDICARE: TELESPHORE KAMATALI RN

MEDICARE:   TELESPHORE  KAMATALI  RN
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
1163W00000XRegistered NurseRN599968PA

General Provider Information

NPI Number : 1437473048
Entity Type Code : Individual
Provider Name (Legal Business Name) : TELESPHORE KAMATALI RN
Provider Business Mailing Address
First Line : 3288 BABCOCK BLVD
Second Line :
City : PITTSBURGH
State : PA
Zip : 15237-2839
Country : US
Telephone Number : 412-367-3620
Fax Number : 412-367-3769
Provider Business Practice Location Address
First Line : 3288 BABCOCK BLVD
Second Line :
City : PITTSBURGH
State : PA
Zip : 15237-2839
Country : US
Telephone Number : 412-367-3620
Fax Number : 412-367-3769
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2010
Last Update Date : 03/25/2010

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Directions to “ TELESPHORE KAMATALI RN” Practice Location

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