Provider Demographics
NPI:1083592984
Name:ALFARDOUS ALAZM, AYA (MD)
Entity type:Individual
Prefix:
First Name:AYA
Middle Name:
Last Name:ALFARDOUS ALAZM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:AYA
Other - Middle Name:
Other - Last Name:ALFERDOS ALAZIM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:3220 SASSAFRAS WAY APT 3083220
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15201-1549
Mailing Address - Country:US
Mailing Address - Phone:412-589-0684
Mailing Address - Fax:
Practice Address - Street 1:3600 FORBES AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-3410
Practice Address - Country:US
Practice Address - Phone:412-692-5325
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-26
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT234264390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program