Individual
DR. MADHAVAN THUPPAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 FORT COUCH RD, PITTSBURGH, PA 15241-1030
(412) 831-1223
(412) 831-1034
Mailing address
106 ROBB HOLLOW RD, PITTSBURGH, PA 15243-1700
(412) 278-0477
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD070792L
PA
2084P0802X
Addiction Psychiatry Physician
MD-070792-L
PA
2084P0804X
Child & Adolescent Psychiatry Physician
MD-070792-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018224090003
—
PA
01
—
469699
VALUE OPTIONS
PA
01
—
7180402
AETNA
PA
01
—
928263
HIGHMARK
PA
Enumeration date
06/10/2006
Last updated
07/07/2017
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