Provider Demographics
NPI:1396237350
Name:KANANDA, STEFANIE (DO)
Entity type:Individual
Prefix:DR
First Name:STEFANIE
Middle Name:
Last Name:KANANDA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3600 FORBES AVENUE
Mailing Address - Street 2:FORBES TOWER-PLAZA LEVEL SUITE 140
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213
Mailing Address - Country:US
Mailing Address - Phone:412-805-8362
Mailing Address - Fax:
Practice Address - Street 1:UPMC MONTEFIORE HOSTITAL
Practice Address - Street 2:3459 FIFTH AVE NW628
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213
Practice Address - Country:US
Practice Address - Phone:412-648-3098
Practice Address - Fax:814-868-2489
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-05
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOT018391207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty