Provider Demographics
NPI:1417977935
Name:KLIBER, ALLISON ANNA (MD)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:ANNA
Last Name:KLIBER
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 1:874 BUTLER ST
Mailing Address - Street 2:STE 2
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15223-1340
Mailing Address - Country:US
Mailing Address - Phone:412-781-5600
Mailing Address - Fax:412-781-5601
Practice Address - Street 1:874 BUTLER ST
Practice Address - Street 2:STE 2
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15223-1340
Practice Address - Country:US
Practice Address - Phone:412-781-5600
Practice Address - Fax:412-781-5601
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2012-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD066975L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAP00098109OtherRAILROAD MEDICARE
PA0017409300001Medicaid
PA024414EYCMedicare ID - Type UnspecifiedMEDICARE
PAG87643Medicare UPIN