Organization
MALATHI VENKATESAN, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MALATHI VENKATESAN M.D. (OWNER)
(412) 322-5777
Entity
Organization
Contact information
Practice address
490 E NORTH AVE, SUITE 204, PITTSBURGH, PA 15212-4740
(412) 322-5777
(412) 322-5775
Mailing address
490 E NORTH AVE, SUITE 204, PITTSBURGH, PA 15212-4740
(412) 322-5777
(412) 322-5775
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
MD058730-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01585449
—
PA
01
—
14517
ELDERHEALTH
PA
01
—
145688
UNISON
PA
01
—
1784451
UNITED PROVIDER ID
PA
01
—
200195
UPMC PROVIDER ID
PA
01
—
3359545
ATENA PROVIDER ID
PA
01
—
6709237003
CIGNA PROVIDER ID
PA
01
—
P000885
GATEWAY PROVIDER ID
PA
Enumeration date
04/03/2007
Last updated
08/22/2020
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