Individual
EMIL JANAKA FERNANDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
320 E NORTH AVE, PITTSBURGH, PA 15212-4756
(412) 359-3336
Mailing address
320 E NORTH AVE, PITTSBURGH, PA 15212-4756
(412) 359-3336
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD467657
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14450574
CAQH
—
Enumeration date
03/27/2013
Last updated
09/30/2020
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