Provider Demographics
NPI:1316912280
Name:RAVINDRAMURTHY, THULASINGAM (MD)
Entity type:Individual
Prefix:DR
First Name:THULASINGAM
Middle Name:
Last Name:RAVINDRAMURTHY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:RAVI
Other - Middle Name:
Other - Last Name:MURTHY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:200 LOTHROP ST
Mailing Address - Street 2:FORBES TOWER SUITE 9055
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-2536
Mailing Address - Country:US
Mailing Address - Phone:412-647-3087
Mailing Address - Fax:412-647-4050
Practice Address - Street 1:6400 BROOKTREE CT
Practice Address - Street 2:SUITE 230
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-9271
Practice Address - Country:US
Practice Address - Phone:724-933-7117
Practice Address - Fax:724-933-7119
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2011-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD066341L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1706802Medicaid
PA018748Medicare PIN
PA1706802Medicaid