Provider Demographics
NPI:1336192285
Name:ANDREW J. ZAHALSKY, M.D.
Entity Type:Organization
Organization Name:ANDREW J. ZAHALSKY, M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ONCOLOGY/HEMATOLOGY
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:J
Authorized Official - Last Name:ZAHALSKY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-292-9404
Mailing Address - Street 1:1163 COUNTRY CLUB RD
Mailing Address - Street 2:
Mailing Address - City:MONONGAHELA
Mailing Address - State:PA
Mailing Address - Zip Code:15063-1013
Mailing Address - Country:US
Mailing Address - Phone:724-292-9404
Mailing Address - Fax:724-292-9128
Practice Address - Street 1:1163 COUNTRY CLUB RD
Practice Address - Street 2:
Practice Address - City:MONONGAHELA
Practice Address - State:PA
Practice Address - Zip Code:15063-1013
Practice Address - Country:US
Practice Address - Phone:724-292-9404
Practice Address - Fax:724-292-9128
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD418239174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA085188OtherHEALTH AMERICA/HEALTH AS
PA130506OtherUNISON
PA1525897OtherGATEWAY
PA2937436OtherAETNA
PA1390388OtherBLUE SHIELD
PA1390388OtherBLUE SHIELD