Provider Demographics
NPI:1609335553
Name:KEYSER, MICHELLE NGUYEN (MD)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:NGUYEN
Last Name:KEYSER
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 1:3600 FORBES AVENUE
Mailing Address - Street 2:FORBES TOWER-PLAZA LEVEL SUITE 140
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213
Mailing Address - Country:US
Mailing Address - Phone:619-543-6268
Mailing Address - Fax:916-543-6529
Practice Address - Street 1:MEDICAL ARTS BUILDING, 3708 FIFTH AVENUE
Practice Address - Street 2:SUITE 501
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213
Practice Address - Country:US
Practice Address - Phone:619-543-6268
Practice Address - Fax:916-543-6529
Is Sole Proprietor?:No
Enumeration Date:2019-03-19
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CAPTL906207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine