Basic Information
| Provider Information | |||||||||
| NPI: | 1295110427 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | KARUNASUMETTA | ||||||||
| FirstName: | CHANANYA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4101 PENN AVENUE | ||||||||
| Address2: | 5TH FL. FACULTY PAVILION | ||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 15224 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4126927625 | ||||||||
| FaxNumber: | 4126925817 | ||||||||
| Practice Location | |||||||||
| Address1: | 4101 PENN AVENUE | ||||||||
| Address2: | 5TH FL. FACULTY PAVILION | ||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 15224 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4126927625 | ||||||||
| FaxNumber: | 4126925817 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/29/2015 | ||||||||
| LastUpdateDate: | 09/13/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208G00000X | MD458186 | PA | Y | Allopathic & Osteopathic Physicians | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 390200000X | 57.025718 | OH | N | Student, Health Care | Student in an Organized Health Care Education/Training Program |
No ID Information.