Provider Demographics
NPI:1821784745
Name:KIM, MARIYAM (MD)
Entity Type:Individual
Prefix:MRS
First Name:MARIYAM
Middle Name:
Last Name:KIM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MARIYAM
Other - Middle Name:
Other - Last Name:AKIZHANOVA
Other - Suffix:
Other - Last Name Type:Former Name
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:
Mailing Address - Fax:
Practice Address - Street 1:1400 LOCUST STREET
Practice Address - Street 2:SUITE 10517
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219-5166
Practice Address - Country:US
Practice Address - Phone:412-232-4065
Practice Address - Fax:412-232-5689
Is Sole Proprietor?:No
Enumeration Date:2023-04-13
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program