Healthcare Provider Details
I. General information
NPI: 1144278730
Provider Name (Legal Business Name): INTEGRATED PULMONARY PHYSICIANS LTD
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/05/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
490 EAST NORTH AVE SUITE 300-301 INTEGRATED PULMONARY PHYSICIANS LTD
PITTSBURGH PA
15212
US
IV. Provider business mailing address
490 EAST NORTH AVE SUITE 303 INTEGRATED PULMONARY PHYSICIANS LTD
PITTSBURGH PA
15212
US
V. Phone/Fax
- Phone: 412-322-7202
- Fax: 412-322-5324
- Phone: 412-322-5322
- Fax: 412-322-5324
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RP1001X |
| Taxonomy | Pulmonary Disease Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ANTHONY
ZIKOS
Title or Position: PHYSICIAN PRESIDENT
Credential: DO
Phone: 412-322-7202