RAGHU R. TADIKAMALLA MD NPI 1164609491

NPI Information

NPI: 1164609491
Provider Name: RAGHU R. TADIKAMALLA, MD
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

Organization: ALLEGHENY CLINIC

PECOS Registration: Yes

Address:
4815 LIBERTY AVE STE 156
PITTSBURGH, PA
ZIP 15224
Phone: (412) 578-4230
Get Directions

Raghu R. Tadikamalla, MD is a cardiovascular disease internal medicine in Pittsburgh, PA with 22 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Raghu R. Tadikamalla, MD NPI is 1164609491. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2002

The provider's business location address is:

4815 LIBERTY AVE STE 156
PITTSBURGH, PA
ZIP 15224-156
Phone: (412) 578-4230
Fax: (412) 578-4201

The NPI 1164609491 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/29/2008 and was last updated on 10/2/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	MD426491	PENNSYLVANIA	Yes
2	207RC0000X	Internal Medicine	Cardiovascular Disease	0101242949	VIRGINIA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1164609491	MEDICAID	VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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