Provider Demographics
NPI:1053383224
Name:MOTURI, HEMLATA (MD)
Entity type:Individual
Prefix:MRS
First Name:HEMLATA
Middle Name:
Last Name:MOTURI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 E NORTH AVE
Mailing Address - Street 2:SUITE 205
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15212
Mailing Address - Country:US
Mailing Address - Phone:412-359-3426
Mailing Address - Fax:412-359-6974
Practice Address - Street 1:420 E NORTH AVE
Practice Address - Street 2:SUITE 205
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15212
Practice Address - Country:US
Practice Address - Phone:412-359-3426
Practice Address - Fax:412-359-6974
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD070677L207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1008301310001Medicaid
PA138541OtherUNISON / MEDPLUS
PA2288256OtherUNITED HEALTHCARE
PA1394089OtherBLUE SHIELD
PA233043491OtherCIGNA
WV3004648000OtherWEST VIRGINIA MEDICAID
PAP00008668OtherRAILROAD MEDICARE
PA247177OtherHEALTHAMERICA
PA2992534OtherAETNA USHC
WV3004648000OtherWEST VIRGINIA MEDICAID
PA058726P7UMedicare PIN