MEDICARE: ANDREAS KYVERNITAKIS M.D.

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	207RC0000X	Cardiovascular Disease Physician	MD488939	PA

General Provider Information

NPI Number	:	1538556717
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREAS KYVERNITAKIS M.D.

Provider Business Mailing Address
First Line	:	5200 CENTRE AVE STE 514
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15232-1326
Country	:	US
Telephone Number	:	412-621-1500
Fax Number	:

Provider Business Practice Location Address
First Line	:	5200 CENTRE AVE STE 514
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15232-1326
Country	:	US
Telephone Number	:	412-621-1500
Fax Number	:

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

Provider Enumeration Date	:	04/25/2015
Last Update Date	:	09/24/2025

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