Individual
SUMANA BANGALORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4727 FRIENDSHIP AVE, SUITE 200, PITTSBURGH, PA 15224-1779
(412) 235-5810
(412) 235-5890
Mailing address
4727 FRIENDSHIP AVE, SUITE 200, PITTSBURGH, PA 15224-1779
(412) 235-5810
(412) 235-5890
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD437712
PA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
MD437712
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102317795
—
PA
Enumeration date
07/03/2007
Last updated
12/17/2021
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