Provider Demographics
NPI:1316175433
Name:AMBANI, SHOSHANA WOO (MD)
Entity type:Individual
Prefix:
First Name:SHOSHANA
Middle Name:WOO
Last Name:AMBANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SHOSHANA
Other - Middle Name:LARA
Other - Last Name:WOO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2 HOT METAL ST
Mailing Address - Street 2:QUANTUM ONE
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15203-2348
Mailing Address - Country:US
Mailing Address - Phone:412-647-3087
Mailing Address - Fax:
Practice Address - Street 1:3380 BLVD OF ALLIES
Practice Address - Street 2:UPP DIV PLASTIC SURGERY, SUITE 158
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-3125
Practice Address - Country:US
Practice Address - Phone:877-639-9688
Practice Address - Fax:412-641-1149
Is Sole Proprietor?:No
Enumeration Date:2009-06-26
Last Update Date:2017-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301094278390200000X, 208200000X
PAMD458694390200000X, 208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program