Provider Demographics
NPI:1427063817
Name:BISHOP, KRISTINA D (MD)
Entity type:Individual
Prefix:DR
First Name:KRISTINA
Middle Name:D
Last Name:BISHOP
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4815 LIBERTY AVE STE GR25
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224-2156
Mailing Address - Country:US
Mailing Address - Phone:855-281-4463
Mailing Address - Fax:412-605-6343
Practice Address - Street 1:4815 LIBERTY AVE STE GR25
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-2156
Practice Address - Country:US
Practice Address - Phone:855-281-4463
Practice Address - Fax:412-605-6343
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD428779207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1017274940007Medicaid
PA102949Medicare PIN