Healthcare Provider Details

I. General information

NPI: 1114556438
Provider Name (Legal Business Name): SHANA ZUCKER MD, MPH, MS, MSED
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/07/2020
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 LOTHROP ST STE 9S
PITTSBURGH PA
15213-2536
US

IV. Provider business mailing address

200 LOTHROP ST STE 9S
PITTSBURGH PA
15213-2536
US

V. Phone/Fax

Practice location:
  • Phone: 412-623-2458
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD483196
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: