Provider Demographics
NPI:1104828581
Name:ZUCKERMAN, KATALIN (MD)
Entity Type:Individual
Prefix:DR
First Name:KATALIN
Middle Name:
Last Name:ZUCKERMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 BALDWICK RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15205-4140
Mailing Address - Country:US
Mailing Address - Phone:412-922-6262
Mailing Address - Fax:412-922-5026
Practice Address - Street 1:2000 OXFORD DR STE 420
Practice Address - Street 2:
Practice Address - City:BETHEL PARK
Practice Address - State:PA
Practice Address - Zip Code:15102-1841
Practice Address - Country:US
Practice Address - Phone:412-942-8500
Practice Address - Fax:412-942-8519
Is Sole Proprietor?:No
Enumeration Date:2005-08-15
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD033415-E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1104313Medicaid
PAC32717Medicare UPIN
PA1104313Medicaid