Basic Information
| Provider Information | |||||||||
| NPI: | 1306820170 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CHALASANI | ||||||||
| FirstName: | GEETHA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MBBS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3550 TERRACE STREET | ||||||||
| Address2: | A919 SCAIFE HALL | ||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 15261 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4125869872 | ||||||||
| FaxNumber: | 4125869876 | ||||||||
| Practice Location | |||||||||
| Address1: | 3550 TERRACE ST | ||||||||
| Address2: | A915 SCAIFE HALL | ||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 152610001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4126477157 | ||||||||
| FaxNumber: | 4126476222 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/05/2005 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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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 | 207RN0300X | 043832 | CT | N | Allopathic & Osteopathic Physicians | Internal Medicine | Nephrology | 207RN0300X | MD-429308 | PA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Nephrology |
No ID Information.