Doctor Name: | MS. ANITHA R PADALA |
NPI Number: | 1225088073 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.A.-C |
License Number: | MA051335 |
Business Practice Address: | 1155 Merchant St Ambridge, PA - 150032375 |
Business Phone Number: | 7242660707 |
Business Fax Number: | |
Mailing Address: | 245 1/2 Frederick Ave, SEWICKLEY |
State: | PA |
Postal Code: | 151431321 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/11/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | MA051335 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |