Provider Demographics
NPI:1518343797
Name:PETROV, DAVID ALEXANDER (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ALEXANDER
Last Name:PETROV
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:600 ABERDEEN DR # B
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:PA
Mailing Address - Zip Code:15501-1737
Mailing Address - Country:US
Mailing Address - Phone:814-426-7339
Mailing Address - Fax:814-235-1566
Practice Address - Street 1:320 E NORTH AVENUE
Practice Address - Street 2:17TH FLOOR, SOUTH TOWER
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15212
Practice Address - Country:US
Practice Address - Phone:412-359-2459
Practice Address - Fax:412-359-8188
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-10
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD4721812085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology