Basic Information
| Provider Information | |||||||||
| NPI: | 1033522750 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LEATHAM | ||||||||
| FirstName: | CECILIA | ||||||||
| MiddleName: | KURNITA | ||||||||
| NamePrefix: | PROF. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | BARTHOLOMEW | ||||||||
| OtherFirstName: | CECILIA | ||||||||
| OtherMiddleName: | K | ||||||||
| OtherNamePrefix: | MRS. | ||||||||
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| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 3600 FORBES AVENUE | ||||||||
| Address2: | FORBES TOWER - PLAZA LEVEL SUITE 140 | ||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 15213 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2157623585 | ||||||||
| FaxNumber: | 2157623058 | ||||||||
| Practice Location | |||||||||
| Address1: | 3471 FIFTH AVE, UPMC DEPARTMENT OF ANESTHESIOLOGY, KAUF | ||||||||
| Address2: | SUITE 910 | ||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 15213 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4126924572 | ||||||||
| FaxNumber: | 4126924515 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/10/2014 | ||||||||
| LastUpdateDate: | 04/15/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | MT207373 | PA | N | Allopathic & Osteopathic Physicians | Surgery | 207L00000X | 298296 | NY | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.