1003769985 NPI number — MR. ABHIRAM CHERUKAPALLI

Table of content: MR. ABHIRAM CHERUKAPALLI (NPI 1003769985)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1003769985 NPI number — MR. ABHIRAM CHERUKAPALLI

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CHERUKAPALLI
Provider First Name:
ABHIRAM
Provider Middle Name:
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1003769985
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/19/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2851 HEATHER STREET
Provider Second Line Business Mailing Address:
APARTMENT 910
Provider Business Mailing Address City Name:
VANCOUVER
Provider Business Mailing Address State Name:
BC
Provider Business Mailing Address Postal Code:
V5Z0A2
Provider Business Mailing Address Country Code:
CA
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
203 LOTHROP ST, UPMC CENTER FOR CRANIAL BASE SURGERY-TH
Provider Second Line Business Practice Location Address:
SUITE 521
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15213
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-647-8186
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/19/2026

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)