Provider Demographics
NPI:1295873537
Name:KOBALY, DAVID J (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:J
Last Name:KOBALY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:9576 PERRY HIGHWAY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237
Mailing Address - Country:US
Mailing Address - Phone:412-367-3130
Mailing Address - Fax:412-367-2658
Practice Address - Street 1:9576 PERRY HIGHWAY
Practice Address - Street 2:SUITE 100
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237
Practice Address - Country:US
Practice Address - Phone:412-367-3130
Practice Address - Fax:412-367-2658
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2019-02-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD015367E207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1881864001OtherRR MEDICARE
PA0007353630001Medicaid
PA0077360OtherAETNA
PA0754420001OtherDMERC
PA251255981OtherUNITED HEALTHCARE
PA103677OtherUPMC
PA219627OtherHEALTHAMERICA
PA0077360OtherAETNA
PAB40161Medicare UPIN