Malathi Venkatesan, M.D.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

MD058730-L Issued in PA

Legal business name

MALATHI VENKATESAN, M.D.

Practice address

490 E North Ave
Suite 204
Pittsburgh, PA 15212-4740

Phone

(412) 322-5777

Fax

(412) 322-5775

NPI assigned

Apr 3, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Malathi Venkatesan, M.D.

Title

Owner

Phone

(412) 322-5777

Specialties & licenses 1

Addresses

Other identifiers 8

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285755249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 E NORTH AVE",
            "address_2": "SUITE 204",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124740",
            "telephone_number": "412-322-5777",
            "fax_number": "412-322-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 E NORTH AVE",
            "address_2": "SUITE 204",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124740",
            "telephone_number": "412-322-5777",
            "fax_number": "412-322-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALATHI VENKATESAN, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VENKATESAN",
        "authorized_official_first_name": "MALATHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-322-5777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "PA",
            "license": "MD058730-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ELDERHEALTH",
            "identifier": "14517",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED PROVIDER ID",
            "identifier": "1784451",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01585449",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC PROVIDER ID",
            "identifier": "200195",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "145688",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATENA PROVIDER ID",
            "identifier": "3359545",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER ID",
            "identifier": "6709237003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY PROVIDER ID",
            "identifier": "P000885",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kara Michelle Malagise, PA-C
• Meghana Malapaka
• Rebecca Malarik
• Alyson Anne Malarkey, DO
• Marie Louise Malasavage, MSW
• Stacy Lynn Malavite, AU.D.
• Steven D. Malawski, L.C.S.W.
• Lori Ann Malazich, LCSW
• Donna Malchano, CRNP
• Danielle Nicole Malcolm

• Primary Care Clinic/Center in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Primary Care Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.