Thadikonda, Kishan Mark
Thadikonda, Kishan Mark is an individual health care provider with primary practice located at 320 E North Ave Ste 401 , Pittsburgh PA 15212-4756. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Thadikonda, Kishan Mark can be contacted via phone (412) 359-4352.Contact Information
Primary practice address
320 E North Ave Ste 401
Pittsburgh PA 15212-4756
Phone: (412) 359-4352
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | MD480485 | Pennsylvania |
Profile Details
| NPI number | 1366977175 |
|---|---|
| LBN Legal business name | Thadikonda, Kishan Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 30th, 2017 |
| Last updated | Aug 1st, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366977175 | NPPES |
| Other | 16127341 | CAQH |
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