MEDICARE: MACKENZIE RAE ZANG PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	MA067815	PA

General Provider Information

NPI Number	:	1639003064
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MACKENZIE RAE ZANG PA-C

Provider Business Mailing Address
First Line	:	121 SLATER DR
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15236-4217
Country	:	US
Telephone Number	:	412-515-6441
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 HALKET ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15213-3108
Country	:	US
Telephone Number	:	412-641-1000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2026
Last Update Date	:	06/10/2026

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