Basic Information
Provider Information
NPI: 1033433560
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RUDD
FirstName: KRISTINA
MiddleName: ELIZABETH
NamePrefix: DR.
NameSuffix:  
Credential: MD, MPH
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2 HOT METAL ST
Address2: QUANTUM ONE
City: PITTSBURGH
State: PA
PostalCode: 152032348
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 200 LOTHROP ST
Address2: 613 SCAIFE HALL
City: PITTSBURGH
State: PA
PostalCode: 152132536
CountryCode: US
TelephoneNumber: 4126473136
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/26/2010
LastUpdateDate: 06/16/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/16/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0200XMD463413PAY Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine

No ID Information.


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