Basic Information
Provider Information
NPI: 1831138866
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALLADA
FirstName: VIVEKANAND
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 200 LOTHROP ST
Address2: FORBES TOWER SUITE 9055
City: PITTSBURGH
State: PA
PostalCode: 152132546
CountryCode: US
TelephoneNumber: 4126473087
FaxNumber: 4126474486
Practice Location
Address1: 4401 PENN AVE
Address2: CHILDREN'S HOSPITAL OF PITTSBURGH OF UPMC
City: PITTSBURGH
State: PA
PostalCode: 152241334
CountryCode: US
TelephoneNumber: 4126923216
FaxNumber: 4126925138
Other Information
ProviderEnumerationDate: 06/05/2006
LastUpdateDate: 02/26/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2080P0202XMD429011PAY Allopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology

No ID Information.


Home