Organization
ANU GOWDA MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANURADHA GOWDA MD (PRESIDENT)
(412) 731-7170
Entity
Organization
Contact information
Practice address
11618 FRANKSTOWN RD, PITTSBURGH, PA 15235-3319
(412) 731-7170
(412) 731-7172
Mailing address
11618 FRANKSTOWN RD, PITTSBURGH, PA 15235-3319
(412) 731-7170
(412) 731-7172
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD060383L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016217600002
—
PA
01
—
1375267
BLUE SHIELD PROV#
PA
Enumeration date
04/03/2007
Last updated
06/18/2009
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