Provider Demographics
NPI:1013082619
Name:VENKAT, ARVIND (MD)
Entity type:Individual
Prefix:
First Name:ARVIND
Middle Name:
Last Name:VENKAT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 E NORTH AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15212-4756
Mailing Address - Country:US
Mailing Address - Phone:412-359-6180
Mailing Address - Fax:412-359-8874
Practice Address - Street 1:320 E NORTH AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15212-4756
Practice Address - Country:US
Practice Address - Phone:412-359-6180
Practice Address - Fax:412-359-8874
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2008-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD430815207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1019783040001Medicaid
WV3810009654Medicaid
OH2415630Medicaid
WV3810009654Medicaid
PACG1994Medicare PIN
OHH90415Medicare UPIN
PA114411NJRMedicare PIN
PAP00432719Medicare PIN