Individual
DR. ELANA J. BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5200 CENTRE AVE, SUITE 606, PITTSBURGH, PA 15232
(412) 683-9422
(412) 683-9421
Mailing address
5200 CENTRE AVE, SUITE 606, PITTSBURGH, PA 15232
(412) 683-9422
(412) 683-9252
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD042499E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000538616
HIGHMARK
—
01
—
104346
UPMC FOR YOU
—
01
—
1197840
MEDICAL ASSISTANCE
—
05
—
1197840
—
PA
01
—
1512543
GATEWAY
—
01
—
2195104
US HEALTHCARE PROVIDER NO
—
01
—
36918
HEALTH AMERICA
—
01
—
5283145
US HEALTHCARE CLAIMS
—
01
—
538616
KEYSTONE
—
01
—
74205
AETNA
—
01
—
830002030
PALMETTO
—
Enumeration date
08/04/2006
Last updated
09/12/2011
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