Basic Information
Provider Information
NPI: 1023209871
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ADALJA
FirstName: AMESH
MiddleName: A
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 200 LOTHROP ST
Address2: FORBES TOWER 9055
City: PITTSBURGH
State: PA
PostalCode: 152132536
CountryCode: US
TelephoneNumber: 4126473087
FaxNumber:  
Practice Location
Address1: 2000 MARY ST
Address2:  
City: PITTSBURGH
State: PA
PostalCode: 152032054
CountryCode: US
TelephoneNumber: 4124327400
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/07/2007
LastUpdateDate: 07/06/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/06/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000XMD427243PAN Allopathic & Osteopathic PhysiciansEmergency Medicine 
207PE0004XMD427243PAN Allopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
207RC0200XMD427243PAN Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
207RI0200XMD427243PAY Allopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease

No ID Information.


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