MEDICARE: CARLTON BATES

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	2080P0210X	Pediatric Nephrology Physician	MD435647	PA

General Provider Information

NPI Number	:	1932106077
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLTON BATES

Provider Business Mailing Address
First Line	:	UPMC CHILDREN'S HOSPITAL OF PITTSBURGH
Second Line	:	4401 PENN AVENUE, RANGOS 5TH FLOOR, ROOM 5130
City	:	PITTSBURGH
State	:	PA
Zip	:	15201
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	UPMC CHILDREN'S HOSPITAL OF PITTSBURGH
Second Line	:	4401 PENN AVENUE, RANGOS 5TH FLOOR, ROOM 5130
City	:	PITTSBURGH
State	:	PA
Zip	:	15201
Country	:	US
Telephone Number	:	412-692-9440
Fax Number	:

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

Provider Enumeration Date	:	07/05/2005
Last Update Date	:	05/28/2021

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