Healthcare Provider Details
I. General information
NPI: 1477748556
Provider Name (Legal Business Name): ALEXANDRA URBAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/11/2007
Last Update Date: 05/02/2025
Certification Date: 05/02/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3471 5TH AVE SUITE 810
PITTSBURGH PA
15213-3215
US
IV. Provider business mailing address
3471 5TH AVE SUITE 811
PITTSBURGH PA
15213-3215
US
V. Phone/Fax
- Phone: 412-692-4920
- Fax: 412-692-4907
- Phone: 412-692-4920
- Fax: 412-692-4907
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | MT185496 |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | MD434399 |
| License Number State | PA |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084N0400X |
| Taxonomy | Neurology Physician |
| License Number | MD434399 |
| License Number State | PA |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084N0600X |
| Taxonomy | Clinical Neurophysiology Physician |
| License Number | MD434399 |
| License Number State | PA |
| # 5 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084E0001X |
| Taxonomy | Epilepsy Physician |
| License Number | MD434399 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: