Provider Demographics
NPI:1679503122
Name:ZERNICH, MILAS (MD)
Entity Type:Individual
Prefix:
First Name:MILAS
Middle Name:
Last Name:ZERNICH
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 1:320 GUYS RUN RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15238-1375
Mailing Address - Country:US
Mailing Address - Phone:412-435-0005
Mailing Address - Fax:412-435-0003
Practice Address - Street 1:320 GUYS RUN ROAD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15238
Practice Address - Country:US
Practice Address - Phone:412-435-0005
Practice Address - Fax:412-435-0003
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD020386E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0006443490002Medicaid
OH0867450Medicaid
WV3810010869Medicaid
WV3810010869Medicaid
PA143876NJKMedicare PIN
PAP00457636Medicare PIN