MEDICARE: DR. SESHAIYENGAR VENKATESH 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	207W00000X	Ophthalmology Physician	MD 058224 L	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

General Provider Information

NPI Number	:	1477536605
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SESHAIYENGAR VENKATESH MD

Provider Business Mailing Address
First Line	:	7075 BENNINGTON WOODS DR
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15237-6372
Country	:	US
Telephone Number	:	412-630-8450
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 DELAFIELD RD
Second Line	:	SUITE 211
City	:	PITTSBURGH
State	:	PA
Zip	:	15215-3247
Country	:	US
Telephone Number	:	412-784-0666
Fax Number	:	412-784-1179

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

Provider Enumeration Date	:	11/22/2005
Last Update Date	:	02/11/2010

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