Provider Demographics
NPI:1730177387
Name:VUKMIR, RADE B (MD,JD)
Entity type:Individual
Prefix:DR
First Name:RADE
Middle Name:B
Last Name:VUKMIR
Suffix:
Gender:M
Credentials:MD,JD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7301 PENN AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15208-2528
Mailing Address - Country:US
Mailing Address - Phone:412-517-3000
Mailing Address - Fax:
Practice Address - Street 1:7301 PENN AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15208-2528
Practice Address - Country:US
Practice Address - Phone:412-517-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-10-07
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD039555E207P00000X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX183035801Medicaid
PA537672OtherMEDICARE
PA0011172040016Medicaid
PA0011172040020Medicaid
WV1811017000Medicaid
PAMD039555EOtherMEDICAL LIC NUMBER
PA1117204OtherMEDICAL ASSISTANCE
PA0011172040013Medicaid
NY02845187Medicaid
PA0011172040018Medicaid
OH0824415Medicaid
OH0824415Medicaid
OH0824415Medicaid
PA0011172040013Medicaid
PA0011172040016Medicaid
FLU8242ZMedicare PIN
TX8G7924Medicare PIN
PABV1121475OtherFED DEA REG NUMBER
WV1811017000Medicaid
TX183035801Medicaid
PA1117204OtherMEDICAL ASSISTANCE