Healthcare Provider Details

I. General information

NPI: 1396322038
Provider Name (Legal Business Name): DYLAN FLOOD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2021
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4815 LIBERTY AVE STE 215
PITTSBURGH PA
15224-2156
US

IV. Provider business mailing address

4815 LIBERTY AVE STE 215
PITTSBURGH PA
15224-2156
US

V. Phone/Fax

Practice location:
  • Phone: 412-235-5900
  • Fax:
Mailing address:
  • Phone: 412-235-5900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMD494075
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: