MEDICARE: RAJANI KONDAVEETI 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	207R00000X	Internal Medicine Physician	MD425304	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	:	1598724874
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAJANI KONDAVEETI MD

Provider Business Mailing Address
First Line	:	969 GREENTREE RD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15220-3328
Country	:	US
Telephone Number	:	412-920-0700
Fax Number	:	412-920-0947

Provider Business Practice Location Address
First Line	:	969 GREENTREE RD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15220-3328
Country	:	US
Telephone Number	:	412-920-0700
Fax Number	:	412-920-0947

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

Provider Enumeration Date	:	03/23/2006
Last Update Date	:	09/13/2011

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Directions to “ RAJANI KONDAVEETI MD” Practice Location

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