Healthcare Provider Details

I. General information

NPI: 1639003064
Provider Name (Legal Business Name): MACKENZIE RAE ZANG PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 HALKET ST
PITTSBURGH PA
15213-3108
US

IV. Provider business mailing address

121 SLATER DR
PITTSBURGH PA
15236-4217
US

V. Phone/Fax

Practice location:
  • Phone: 412-641-1000
  • Fax:
Mailing address:
  • Phone: 412-515-6441
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberMA067815
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: