Vajravelu, Mary

Vajravelu, Mary is an individual health care provider with primary practice located at 4401 Penn Ave , Pittsburgh PA 15224-1334. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Endocrinology. Allopathic & Osteopathic Physicians / Pediatric Endocrinology is her primary health care specialty. Vajravelu, Mary can be contacted via phone (412) 692-5170.

Contact Information

Primary practice address
4401 Penn Ave Pittsburgh PA 15224-1334
Phone: (412) 692-5170
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MT201169 Pennsylvania
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X MD454379 Pennsylvania

Profile Details

NPI number 1083977342
LBN Legal business name Vajravelu, Mary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2012
Last updated Aug 19th, 2021 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083977342 NPPES
Pennsylvania MEDICAID 1034873410002

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