Provider Demographics
NPI:1366172389
Name:BITTENCOURT, DRIELE P (MD)
Entity type:Individual
Prefix:DR
First Name:DRIELE
Middle Name:P
Last Name:BITTENCOURT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:DRIELE
Other - Middle Name:
Other - Last Name:PEIXOTO BITTENCOURT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:5250 LIBERTY AVE APT 508
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224-2380
Mailing Address - Country:US
Mailing Address - Phone:412-214-2386
Mailing Address - Fax:
Practice Address - Street 1:3601 5TH AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-3403
Practice Address - Country:US
Practice Address - Phone:412-647-7228
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-13
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PALT000932207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease