Provider Demographics
NPI:1861838732
Name:DELOIA, SAMUEL PAUL (MD)
Entity Type:Individual
Prefix:
First Name:SAMUEL
Middle Name:PAUL
Last Name:DELOIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:200 LOTHROP ST PRESBY SOUTH TOWER
Mailing Address - Street 2:8TH FLOOR, 8 NORTH
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213
Mailing Address - Country:US
Mailing Address - Phone:412-647-3530
Mailing Address - Fax:412-647-5359
Practice Address - Street 1:200 LOTHROP ST PRESBY SOUTH TOWER
Practice Address - Street 2:8TH FL, 8 NORTH
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-2582
Practice Address - Country:US
Practice Address - Phone:412-647-3530
Practice Address - Fax:412-647-5359
Is Sole Proprietor?:No
Enumeration Date:2013-05-17
Last Update Date:2013-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4483222085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology