Provider Demographics
NPI:1326207226
Name:AZZAM, PIERRE (MD)
Entity Type:Individual
Prefix:DR
First Name:PIERRE
Middle Name:
Last Name:AZZAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3520 5TH AVE
Mailing Address - Street 2:LOWER LEVEL, STE.1
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-3320
Mailing Address - Country:US
Mailing Address - Phone:412-383-1641
Mailing Address - Fax:412-383-3177
Practice Address - Street 1:3520 5TH AVE
Practice Address - Street 2:LOWER LEVEL, STE.1
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-3320
Practice Address - Country:US
Practice Address - Phone:412-383-1641
Practice Address - Fax:412-383-3177
Is Sole Proprietor?:No
Enumeration Date:2008-06-05
Last Update Date:2015-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4352582084P0800X, 2084P0800X
MA2387522084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry