Provider Demographics
NPI:1932461191
Name:LOEWEN, RALITSA TRIFONOVA (MD)
Entity Type:Individual
Prefix:MRS
First Name:RALITSA
Middle Name:TRIFONOVA
Last Name:LOEWEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:RALITSA
Other - Middle Name:TRIFONOVA
Other - Last Name:MANTCHEVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
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:203-936-8248
Mailing Address - Fax:
Practice Address - Street 1:1400 LOCUST STR
Practice Address - Street 2:SUITE 3103, ATTN NATALIE SUSANY
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219
Practice Address - Country:US
Practice Address - Phone:412-232-7219
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-13
Last Update Date:2022-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT202463207W00000X, 208600000X
NMMT202463390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No208600000XAllopathic & Osteopathic PhysiciansSurgery