Individual
RAGHU R. TADIKAMALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4815 LIBERTY AVE STE 156, PITTSBURGH, PA 15224-2156
(412) 578-4230
(412) 578-4201
Mailing address
4815 LIBERTY AVE STE 156, PITTSBURGH, PA 15224-2156
(412) 578-4230
(412) 578-4201
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
0101242949
VA
207RC0000X
Cardiovascular Disease Physician
Primary
MD426491
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164609491
—
VA
Enumeration date
01/29/2008
Last updated
10/02/2020
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