Basic Information
| Provider Information | |||||||||
| NPI: | 1316970353 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | KANNAPADI | ||||||||
| FirstName: | UMA | ||||||||
| MiddleName: | M | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5171 LIBERTY AVE | ||||||||
| Address2: | |||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 152242254 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4126834550 | ||||||||
| FaxNumber: | 4126838154 | ||||||||
| Practice Location | |||||||||
| Address1: | 5171 LIBERTY AVE | ||||||||
| Address2: | |||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 152242215 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4126834550 | ||||||||
| FaxNumber: | 4126838154 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/09/2006 | ||||||||
| LastUpdateDate: | 06/17/2019 | ||||||||
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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 | 207RN0300X | MD056523L | PA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Nephrology | 174400000X | MD-056523-L | PA | N | Other Service Providers | Specialist |
ID Information
| ID | Type | State | Issuer | Description | 155790901 | 05 | PA | MEDICAID |