Provider Demographics
NPI:1750743753
Name:RAMGOPAL, ARCHANA (DO)
Entity type:Individual
Prefix:
First Name:ARCHANA
Middle Name:
Last Name:RAMGOPAL
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:412-519-4329
Mailing Address - Fax:216-445-8241
Practice Address - Street 1:4401 PENN AVENUE
Practice Address - Street 2:PLAZA BUILDING SUITE 404
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224
Practice Address - Country:US
Practice Address - Phone:412-692-6393
Practice Address - Fax:412-692-7693
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-28
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS0200782080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0174099Medicaid