Provider Demographics
NPI:1356429930
Name:KRIEGER, EVELINA M (MD)
Entity type:Individual
Prefix:
First Name:EVELINA
Middle Name:M
Last Name:KRIEGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:320 EAST NORTH AVE
Mailing Address - Street 2:ALLEGHENY GENERAL HOSPITAL DEPT OF PEDIATRICS
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15212-4756
Mailing Address - Country:US
Mailing Address - Phone:412-359-5090
Mailing Address - Fax:412-359-3663
Practice Address - Street 1:320 EAST NORTH AVE
Practice Address - Street 2:ALLEGHENY GENERAL HOSPITAL DEPT OF PEDIATRICS
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15212-4756
Practice Address - Country:US
Practice Address - Phone:412-359-5090
Practice Address - Fax:412-359-3663
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2020-11-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD443956208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1026439890001Medicaid
PA1026439890001Medicaid