Basic Information
| Provider Information | |||||||||
| NPI: | 1225128416 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BANGALORE | ||||||||
| FirstName: | SRIHARI | ||||||||
| MiddleName: | SRINIVASAN | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D, MPH | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1150 GREENFIELD AVE | ||||||||
| Address2: | APT # 2 | ||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 152172958 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4122537462 | ||||||||
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| Practice Location | |||||||||
| Address1: | 331 SHAW AVE | ||||||||
| Address2: | 3RD FLOOR | ||||||||
| City: | MCKEESPORT | ||||||||
| State: | PA | ||||||||
| PostalCode: | 151322918 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4126758855 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/16/2006 | ||||||||
| LastUpdateDate: | 02/11/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0804X | MD426996 | PA | Y | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Child & Adolescent Psychiatry |
No ID Information.