Organization
S. VENKATESH MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SESHARYENGAR VENKATESH MD PC (PRESIDENT)
(412) 784-0666
Entity
Organization
Contact information
Practice address
100 DELAFIELD RD STE 211, PITTSBURGH, PA 15215-3247
(412) 784-0666
(412) 784-1179
Mailing address
7075 BENNINGTON WOODS DR, PITTSBURGH, PA 15237-6372
(412) 784-0666
(412) 784-1179
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
058224L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1583481
BLUE SHIELD
PA
Enumeration date
03/30/2007
Last updated
03/12/2009
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